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Maine rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $413.12 / $413.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.54 / $706.81 / $1,310.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $343.74 / $460.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $450.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $393.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.63 / $496.63 / $496.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.38 / $413.12 / $413.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.06 / $306.01 / $849.33