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Maine rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $33.59 / $33.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $63.77 / $118.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $32.33 / $32.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $33.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $44.80 / $44.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $33.59 / $65.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $27.61 / $63.48