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Maryland rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.06 / $41.39 / $70.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $47.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.44 / $90.22 / $125.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $61.58 / $98.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $70.91 / $81.86