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Maine rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $39.04 / $39.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.22 / $74.13 / $137.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $37.56 / $37.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $36.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $52.09 / $52.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.21 / $39.04 / $39.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $32.09 / $73.81