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Maryland rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $23.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.85 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $18.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $26.92 / $26.92