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Maryland rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $9.19 / $15.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $12.85 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.18 / $29.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $9.11 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.07 / $16.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.06 / $14.13