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Maine rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.29 / $559.98 / $559.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.50 / $958.09 / $1,776.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $397.94 / $624.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $611.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $389.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.18 / $673.18 / $673.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.16 / $559.98 / $559.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.52 / $414.80 / $953.91