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Maine rates for HCPCS E1815

Dynamic adjustable ankle extension and flexion device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.97 / $1,056.89 / $1,056.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $2,030.00 / $2,030.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $121.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.81 / $1,056.89 / $1,056.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.72 / $88.07 / $749.78