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Maryland rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $25.19 / $43.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $30.89 / $37.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $33.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $55.34 / $79.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $27.61 / $44.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $30.35 / $38.74