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Maryland rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $43.80 / $78.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $64.02 / $68.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $69.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $100.25 / $144.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $50.01 / $79.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.96 / $54.96 / $70.18