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Maine rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,136.96 / $4,835.47 / $4,835.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.57 / $8,273.10 / $15,335.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.23 / $3,939.22 / $5,390.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $5,276.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $4,865.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,813.02 / $5,813.02 / $5,813.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,042.59 / $4,835.47 / $4,835.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.89 / $3,581.84 / $8,237.10