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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
$645.65 / $794.33 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,548.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $912.01 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,023.29 / $1,445.44