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Maine rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.26 / $4,168.47 / $4,168.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,504.74 / $7,131.90 / $13,220.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,562.16 / $3,562.16 / $4,646.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,549.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $4,052.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.18 / $5,011.18 / $5,011.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,484.97 / $4,168.47 / $4,168.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.51 / $4,195.91 / $7,100.90