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Maine rates for HCPCS L5682

Addition To Lower Extremity Below Knee Thigh Lacer Gluteal/Ischial Molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.28 / $674.05 / $674.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.13 / $1,153.24 / $2,137.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.56 / $479.00 / $751.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $735.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $354.47 / $485.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.31 / $810.31 / $810.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.53 / $674.05 / $674.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.86 / $499.30 / $1,385.79