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Maine rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $48.68 / $48.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.29 / $83.29 / $154.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $39.13 / $54.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $53.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $58.53 / $58.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $48.68 / $48.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $46.09 / $82.93