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Maryland rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.36 / $51.62 / $92.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $65.95 / $80.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $118.15 / $170.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.21 / $58.94 / $93.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $64.79 / $82.71