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Maine rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $69.06 / $69.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.21 / $118.17 / $219.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $53.61 / $77.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $75.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $59.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $83.04 / $83.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $69.06 / $69.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $51.16 / $117.65