go back

Maine rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $9.76 / $9.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $9.77 / $13.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $21.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $41.18 / $41.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $9.77 / $13.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $8.00 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $8.02 / $21.28