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Maine rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.24 / $57.40 / $57.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.80 / $98.21 / $182.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.58 / $46.78 / $63.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $62.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $33.44 / $45.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.01 / $69.01 / $69.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.99 / $57.40 / $57.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $42.52 / $97.79