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Maryland rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $42.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $143.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $52.00 / $53.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $76.00 / $76.00