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Maine rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.50 / $279.47 / $279.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.49 / $530.53 / $983.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.09 / $220.46 / $220.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $338.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $215.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.78 / $372.78 / $372.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.88 / $279.47 / $279.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $229.70 / $528.24