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Maryland rates for HCPCS L3253

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $15.92 / $27.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $34.70 / $48.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $23.80 / $38.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.76 / $67.64 / $67.64