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Maine rates for HCPCS L5684

Addition To Lower Extremity Below Knee Fork Strap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $48.74 / $48.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.36 / $83.38 / $154.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $36.86 / $54.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $53.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $37.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $58.59 / $58.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $48.74 / $48.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $37.88 / $83.03