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Maine rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.48 / $385.48 / $385.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.83 / $731.79 / $1,356.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.64 / $303.95 / $303.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $466.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $217.26 / $297.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.19 / $514.19 / $514.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.59 / $385.48 / $385.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.22 / $316.83 / $728.61