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Maine rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.50 / $435.47 / $435.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.07 / $745.05 / $1,381.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.41 / $333.93 / $485.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $475.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $338.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.51 / $523.51 / $523.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.06 / $435.47 / $435.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $393.34 / $741.81