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Maryland rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.97 / $352.81 / $592.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.00 / $359.00 / $457.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $335.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.27 / $668.95 / $963.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $345.22 / $529.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.96 / $366.96 / $468.27