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Maine rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $226.44 / $226.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.80 / $429.88 / $796.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $238.07 / $238.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.54 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.05 / $302.05 / $302.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.06 / $226.44 / $226.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.54 / $184.46 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $200.76 / $428.01