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Maryland rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $7.08 / $12.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $15.42 / $21.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $10.58 / $16.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $26.62 / $26.62