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Maryland rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $45.99 / $83.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $100.25 / $139.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $68.73 / $110.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $82.15 / $91.35