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Maine rates for HCPCS 29515

Application Short Leg Splint Calf Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.36 / $197.70 / $249.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $66.62 / $99.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $64.22 / $95.37
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.60 / $96.33 / $143.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $92.55 / $144.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.65 / $93.16 / $165.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.36 / $190.52 / $314.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.55 / $77.06 / $118.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $97.41 / $148.61