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Maine rates for HCPCS L5530

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.46 / $1,682.43 / $1,682.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.76 / $2,878.49 / $5,335.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.47 / $1,322.93 / $1,875.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,836.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $1,295.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.56 / $2,022.56 / $2,022.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.57 / $1,682.43 / $1,682.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.83 / $1,246.25 / $2,865.98