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Maine rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.62 / $437.56 / $437.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.83 / $748.64 / $1,387.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $330.03 / $487.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $477.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $266.04 / $364.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.02 / $526.02 / $526.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.81 / $437.56 / $437.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $340.37 / $745.37