go back

Maine rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $36.32 / $36.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.22 / $68.95 / $127.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.95 / $34.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $48.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $36.32 / $36.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $29.86 / $68.67