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Maine rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $115.28 / $115.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.92 / $218.86 / $405.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $113.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $129.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.77 / $153.77 / $153.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.94 / $115.28 / $115.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $94.75 / $262.99