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Maine rates for HCPCS L5050

Ankle, Symes, Molded Socket, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.71 / $2,202.28 / $2,202.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,908.26 / $3,767.92 / $6,984.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.19 / $1,757.77 / $2,454.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,403.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $1,521.41 / $2,084.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,647.50 / $2,647.50 / $2,647.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.18 / $2,202.28 / $2,202.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.28 / $1,815.91 / $1,815.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.55 / $1,631.32 / $3,751.54