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Maryland rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $18.75 / $32.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $39.28 / $39.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $40.86 / $56.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $28.03 / $44.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $41.47 / $41.47