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Maine rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $127.04 / $127.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.76 / $217.35 / $402.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $101.78 / $141.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $138.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $99.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.72 / $152.72 / $152.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $127.04 / $127.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.74 / $122.61 / $216.43