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Maine rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,479.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,584.89 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,778.28 / $2,570.40