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Maine rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $363.08 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $616.60