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Maine rates for HCPCS L2580

Addition To Lower Extremity Pelvic Control Pelvic Sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.90 / $354.12 / $354.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.88 / $672.25 / $1,246.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.93 / $333.67 / $333.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $373.35 / $428.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $272.55 / $373.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.36 / $472.36 / $472.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.49 / $354.12 / $354.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $291.05 / $669.33