go back

Maine rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.65 / $329.33 / $329.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.90 / $563.45 / $1,044.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $312.12 / $367.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $359.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $223.04 / $305.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.91 / $395.91 / $395.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $329.33 / $329.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.96 / $243.95 / $561.01