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Maine rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.05 / $287.64 / $287.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.48 / $546.05 / $1,012.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.46 / $226.80 / $226.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $348.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $243.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.69 / $383.69 / $383.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $287.64 / $287.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $236.42 / $543.67