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Maine rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.52 / $61.77 / $61.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $70.91 / $70.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $47.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.91 / $159.91 / $159.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.51 / $61.77 / $61.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.85 / $46.15 / $134.59