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Maine rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $66.07 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $57.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.90 / $53.70