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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
$434.78 / $603.99 / $603.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.02 / $1,146.61 / $2,125.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.98 / $492.43 / $492.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $731.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $364.39 / $499.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.67 / $805.67 / $805.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.29 / $603.99 / $603.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.96 / $496.43 / $1,141.64