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Maryland rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.45 / $330.35 / $591.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $405.00 / $516.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $626.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.25 / $756.07 / $1,088.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.58 / $377.20 / $601.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.97 / $452.97 / $529.25