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Maine rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.59 / $223.36 / $224.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.55 / $425.67 / $789.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $221.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $155.06 / $211.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.10 / $299.10 / $299.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $224.22 / $233.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $184.30 / $423.82