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Maine rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $32.09 / $32.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $54.92 / $101.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $30.41 / $35.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $35.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $29.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $38.58 / $38.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $32.09 / $32.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $35.82 / $54.68