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Maine rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $29 · 10th–90th $6–$290%50%10th$29Professionalmedian $10 · 10th–90th $7–$520%10%20%10th90th$10$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $52.48 / $53.70
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $14.45 / $52.48