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Maine rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.08 / $1,467.23 / $1,467.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.57 / $2,510.30 / $4,653.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.79 / $1,156.08 / $1,635.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,601.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $1,349.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.84 / $1,763.84 / $1,763.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.64 / $1,467.23 / $1,467.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.56 / $1,361.78 / $2,499.38