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Maine rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.64 / $986.36 / $986.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.56 / $1,687.59 / $3,128.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.51 / $876.91 / $1,099.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.71 / $1,036.33 / $1,076.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.76 / $1,185.76 / $1,185.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.63 / $986.36 / $986.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.08 / $1,056.42 / $1,464.54