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Maine rates for HCPCS L2510

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.18 / $553.16 / $553.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.54 / $1,050.13 / $1,946.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.42 / $522.21 / $522.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.34 / $511.34 / $669.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.28 / $373.28 / $511.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.86 / $737.86 / $737.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.14 / $553.16 / $553.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.62 / $404.62 / $404.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.10 / $454.65 / $1,045.55