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Maine rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $141.61 / $141.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.50 / $268.83 / $498.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $136.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $152.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $134.37 / $152.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.90 / $188.90 / $188.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $141.61 / $147.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $116.39 / $267.68