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Maine rates for HCPCS L2415

Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $151.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $64.57 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $81.28 / $138.04