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Maine rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.38 / $4,085.44 / $4,085.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,395.08 / $6,989.83 / $12,956.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.79 / $3,870.95 / $4,554.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $4,458.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,790.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,911.35 / $4,911.35 / $4,911.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,415.55 / $4,085.44 / $4,085.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.67 / $4,559.63 / $6,959.43