go back

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
$800.04 / $1,111.43 / $1,111.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.55 / $2,109.94 / $3,911.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.97 / $876.36 / $876.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.38 / $888.38 / $1,345.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.52 / $648.52 / $888.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.54 / $1,482.54 / $1,482.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.01 / $1,111.43 / $1,111.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.00 / $913.50 / $2,100.76