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Maryland rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $46.22 / $79.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $69.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $101.50 / $146.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $50.64 / $80.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $57.23 / $71.05