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Maine rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.58 / $3,347.37 / $3,347.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,420.42 / $5,727.07 / $10,616.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,779.11 / $2,902.90 / $3,731.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $3,294.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,024.08 / $4,024.08 / $4,024.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.51 / $3,347.37 / $3,347.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.02 / $2,554.21 / $5,702.17