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Maine rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.93 / $4,843.70 / $4,843.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,396.42 / $8,287.16 / $15,361.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.43 / $3,899.83 / $5,399.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $5,285.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,728.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,822.91 / $5,822.91 / $5,822.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.48 / $4,843.70 / $4,843.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.94 / $3,587.93 / $8,251.12