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Maine rates for HCPCS L5611

Addition To Lower Extremity Endoskeletal System Above Knee - Knee Disarticulation 4 Bar Linkage With Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.57 / $1,736.55 / $1,736.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.23 / $2,971.09 / $5,507.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.71 / $1,234.04 / $1,935.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,895.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.62 / $2,087.62 / $2,087.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.81 / $1,736.55 / $1,736.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.56 / $1,286.33 / $2,958.17