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Maine rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.04 / $458.92 / $458.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.45 / $871.22 / $1,614.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.49 / $482.49 / $482.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.05 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $598.64 / $626.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.16 / $612.16 / $612.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.72 / $458.92 / $458.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $377.20 / $867.43