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Maryland rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Facilitymedian $20 · 10th–90th $15$550%10%10th90th$20Professionalmedian $19 · 10th–90th $15$300%20%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $67.61 / $67.61