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Maine rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.06 / $2,225.27 / $2,225.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,938.61 / $3,807.25 / $7,057.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.10 / $1,959.67 / $2,480.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.31 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $1,877.39 / $2,571.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.14 / $2,675.14 / $2,675.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.40 / $2,225.27 / $2,225.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.90 / $2,308.31 / $3,790.69