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Maine rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $208.93 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $186.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $66.07 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $154.88