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Maine rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.00 / $1,822.65 / $1,822.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,406.92 / $3,118.40 / $5,780.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.56 / $1,332.38 / $2,031.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,989.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,606.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.12 / $2,191.12 / $2,191.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.80 / $1,822.65 / $1,822.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.08 / $1,605.12 / $3,104.84