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Maine rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $850.15 / $850.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.69 / $1,454.55 / $2,696.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.98 / $697.74 / $947.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $927.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $525.45 / $719.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.02 / $1,022.02 / $1,022.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.76 / $850.15 / $850.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.83 / $821.87 / $1,448.22