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Maine rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $1,548.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $489.78 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $870.96