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Maine rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $60.85 / $60.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.16 / $115.52 / $214.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $58.54 / $58.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $69.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $81.16 / $81.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.43 / $60.85 / $60.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.26 / $50.01 / $115.00