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Maine rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $99.81 / $99.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.24 / $189.47 / $351.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $78.70 / $78.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $120.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $58.23 / $79.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $133.13 / $133.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $99.81 / $99.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.69 / $82.03 / $188.66