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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
$74.34 / $94.41 / $94.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.35 / $179.24 / $332.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $64.94 / $88.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.93 / $125.93 / $125.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.58 / $94.41 / $94.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $77.59 / $178.47