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Maine rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $70.79 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $36.31 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $33.88 / $57.54