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Maine rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,847.48 / $27,670.29 / $27,670.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,418.93 / $45,888.50 / $85,062.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,036.73 / $4,036.73 / $54,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $31,019.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,414.58 / $37,414.58 / $37,414.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,670.29 / $27,670.29 / $28,428.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,948.30 / $26,498.95 / $61,023.81