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Maine rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $436.52 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $354.81