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Maine rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $90.03 / $90.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.91 / $170.92 / $316.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.06 / $90.17 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $109.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $102.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $120.09 / $120.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.52 / $90.03 / $97.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.31 / $74.00 / $205.38