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Maine rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.31 / $407.47 / $407.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.04 / $773.54 / $1,433.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.60 / $331.20 / $331.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $493.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $324.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.53 / $543.53 / $543.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.99 / $407.47 / $407.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.27 / $334.91 / $770.18