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Maine rates for HCPCS L3230

Orthopedic Footwear Custom Shoes Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $89.49 / $89.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.57 / $162.57 / $504.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $139.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.14 / $294.14 / $294.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.69 / $89.49 / $89.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.04 / $91.04 / $194.99