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Maine rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $21.12 / $21.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $39.11 / $39.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $26.60 / $27.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $76.48 / $76.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $21.12 / $21.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $17.36 / $46.01