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Maine rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $50.97 / $50.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.69 / $96.77 / $179.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $42.28 / $42.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $55.83 / $61.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $40.76 / $55.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $67.98 / $67.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.27 / $50.97 / $50.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.93 / $41.89 / $96.32