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Maine rates for HCPCS L2250

Addition To Lower Extremity Foot Plate Molded To Patient Model Stirrup Attachment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $242.98 / $242.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.04 / $461.28 / $855.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.52 / $255.46 / $255.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $294.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $252.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.12 / $324.12 / $324.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.41 / $242.98 / $242.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $199.71 / $459.27