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Maine rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.25 / $989.99 / $989.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.34 / $1,693.79 / $3,139.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.36 / $932.47 / $1,103.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,080.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $666.53 / $913.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.13 / $1,190.13 / $1,190.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.66 / $989.99 / $989.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.88 / $733.33 / $1,686.44