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Maine rates for HCPCS L2526

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $501.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $380.19 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $870.96