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Maine rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.56 / $14.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $21.28 / $28.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $52.94 / $52.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.56 / $12.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.52 / $23.01