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Maryland rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $15.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.52 / $24.52 / $24.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $10.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $29.00 / $29.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.38 / $65.38 / $400.00