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Maryland rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.60 / $21.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $18.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $27.67 / $39.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $13.80 / $21.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $15.15 / $19.37