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Maine rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.40 / $61.68 / $61.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.37 / $117.09 / $217.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $48.70 / $48.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $74.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.28 / $82.28 / $82.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $61.68 / $61.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $50.69 / $116.58