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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
$77.29 / $107.38 / $107.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.33 / $203.84 / $377.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $84.67 / $84.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $130.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $77.54 / $106.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $143.22 / $143.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $107.38 / $107.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $65.59 / $65.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $88.25 / $202.96