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Maine rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $20.88 / $20.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $39.64 / $73.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $20.09 / $20.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $23.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $20.88 / $20.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $15.57 / $15.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $17.16 / $39.45