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Maryland rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $58.10 / $105.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $92.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $73.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $134.75 / $194.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.13 / $67.22 / $107.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.40 / $70.40 / $94.33