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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
$23.40 / $32.51 / $33.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $61.72 / $114.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $34.18 / $34.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $39.15 / $39.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $39.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $43.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $32.50 / $32.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $28.83 / $61.45