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Maine rates for HCPCS L5710

Addition, exoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.91 / $328.27 / $328.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.49 / $561.63 / $1,041.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $275.48 / $365.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $279.26 / $358.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $203.86 / $279.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.64 / $394.64 / $394.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.45 / $328.27 / $328.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $287.68 / $287.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $243.16 / $559.21