go back

Maine rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $105.47 / $105.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.28 / $180.45 / $334.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.42 / $74.94 / $117.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $115.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $97.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.79 / $126.79 / $126.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $105.47 / $105.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $78.13 / $179.67