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Maine rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.51 / $236.51 / $252.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.73 / $214.85 / $252.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.92 / $479.26 / $888.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $197.76 / $216.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $214.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $214.16
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $374.33 / $400.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.75 / $336.75 / $336.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.51 / $236.51 / $236.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.72 / $252.46 / $302.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.12 / $154.24 / $154.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $207.50 / $477.18