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Maine rates for HCPCS L3350

Heel Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $16.36 / $16.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $31.04 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $15.72 / $15.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.45 / $18.45 / $18.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $18.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $16.26 / $16.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $20.48 / $29.85