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Maine rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $11.30 / $180.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $18.85 / $34.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $11.05 / $12.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $16.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $10.65 / $14.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $13.07 / $13.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $11.30 / $180.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $11.80 / $28.88