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Maine rates for HCPCS L2425

Addition To Knee Joint Disc Or Dial Lock For Adjustable Knee Flexion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $102.32 / $102.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $194.23 / $360.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $98.46 / $98.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.24 / $104.24 / $123.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $104.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $136.47 / $136.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.66 / $102.32 / $102.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $84.10 / $193.40