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Maine rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.11 / $590.54 / $590.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.85 / $1,010.37 / $1,872.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $419.73 / $658.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $644.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $410.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.94 / $709.94 / $709.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.72 / $590.54 / $590.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $494.31 / $1,005.98