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Maryland rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.55 / $177.71 / $232.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $195.31 / $380.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.62 / $230.62 / $236.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $214.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.66 / $346.66 / $499.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.87 / $154.24 / $183.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $172.94 / $275.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $188.33 / $242.66