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Maine rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $158.49 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $120.23