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Maryland rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $14.15 / $24.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $39.14 / $39.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $30.85 / $42.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $21.15 / $34.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.83 / $39.11 / $39.11