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Maine rates for HCPCS L5661

Addition To Lower Extremity Socket Insert Multi-Durometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.51 / $655.90 / $655.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.17 / $1,122.20 / $2,080.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.16 / $466.10 / $731.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $715.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $333.17 / $456.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.49 / $788.49 / $788.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.35 / $655.90 / $655.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.89 / $485.85 / $1,117.31