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Maine rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $87.10 / $151.36