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Maine rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $80.72 / $80.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.28 / $153.24 / $284.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $74.98 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $97.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $58.86 / $73.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.68 / $107.68 / $107.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.87 / $80.72 / $80.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $66.34 / $152.57