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Maine rates for HCPCS L3030

Foot insert, removable, formed to patient foot, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $54.48 / $54.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.81 / $103.42 / $191.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $75.00 / $75.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $103.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $72.67 / $72.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $54.48 / $106.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $44.78 / $102.96