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Maine rates for HCPCS L3170

Foot Plastic Silicone Or Equal Heel Stabilizer Prefabricated Off-The-Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $36.32 / $36.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.22 / $68.95 / $127.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $34.95 / $34.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $34.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $34.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $48.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $36.32 / $70.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $33.69 / $82.88