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Maine rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $82.28 / $82.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.57 / $156.21 / $289.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.80 / $86.28 / $86.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.04 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $112.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $109.75 / $109.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $82.28 / $82.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $72.75 / $155.51