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Maine rates for HCPCS L5580

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.68 / $1,987.97 / $1,987.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.25 / $3,401.26 / $6,304.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.78 / $1,806.78 / $2,216.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.18 / $1,769.18 / $2,169.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.50 / $1,291.50 / $1,769.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.87 / $2,389.87 / $2,389.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.02 / $1,987.97 / $1,987.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.32 / $2,128.23 / $4,087.11