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Maine rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.95 / $786.06 / $786.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.05 / $1,344.90 / $2,493.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.32 / $558.60 / $876.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $857.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $612.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.98 / $944.98 / $944.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.17 / $786.06 / $786.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.08 / $577.08 / $577.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.18 / $582.27 / $1,339.05