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Maine rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $68.64 / $92.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $82.15 / $82.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.49 / $188.49 / $188.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.44 / $68.64 / $68.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $56.24 / $149.56