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Maine rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $279.32 / $279.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.85 / $477.88 / $885.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.25 / $233.13 / $311.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $304.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $228.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.79 / $335.79 / $335.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.53 / $279.32 / $279.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $206.90 / $574.26