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Maine rates for HCPCS L2525

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,905.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $676.08 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,584.89