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Maine rates for HCPCS L5810

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.43 / $524.75 / $524.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.97 / $897.80 / $1,664.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.43 / $372.98 / $584.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $483.85 / $572.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $353.21 / $483.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.84 / $630.84 / $630.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.71 / $524.75 / $524.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.42 / $389.42 / $389.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $439.24 / $893.90