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Maryland rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $29.14 / $46.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $33.42 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $34.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $59.84 / $86.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $29.86 / $47.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $41.89