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Maine rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $393.40 / $393.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.51 / $673.07 / $1,247.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.85 / $372.75 / $438.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.50 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $503.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.94 / $472.94 / $472.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.90 / $393.40 / $393.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.53 / $291.41 / $670.15