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Maine rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $338.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $524.81