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Maine rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.56 / $95.30 / $95.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $157.91 / $157.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $56.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.25 / $220.25 / $220.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $95.30 / $95.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.22 / $86.02 / $177.98