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Maine rates for HCPCS L3450

Heel Sach Cushion Type (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.33 / $75.36 / $75.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.43 / $143.07 / $265.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $72.50 / $72.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $51.82 / $70.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $100.52 / $100.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $75.36 / $75.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $61.94 / $142.43