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Maine rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $82.77 / $82.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.29 / $157.13 / $291.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $81.23 / $81.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $104.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.41 / $110.41 / $110.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $82.77 / $82.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $68.50 / $156.44