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Maine rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.69 / $142.66 / $142.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.04 / $270.83 / $502.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.19 / $112.48 / $112.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $172.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $80.41 / $110.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.29 / $190.29 / $190.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.33 / $142.66 / $142.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $117.25 / $278.94