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Maine rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.26 / $532.21 / $532.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.81 / $910.56 / $1,687.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.76 / $504.26 / $593.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.98 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.80 / $639.80 / $639.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.94 / $532.21 / $532.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.75 / $607.49 / $1,094.17