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Maine rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.13 / $484.21 / $484.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.42 / $828.45 / $1,535.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.90 / $417.65 / $539.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $484.42 / $528.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $353.63 / $484.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.10 / $582.10 / $582.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.82 / $484.21 / $484.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.57 / $430.77 / $824.85