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Maine rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $63.10 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $38.90 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $56.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $26.30 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.11 / $54.95