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Maine rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $594.65 / $594.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.28 / $1,017.40 / $1,885.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.21 / $432.97 / $662.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $648.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $472.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.87 / $714.87 / $714.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.15 / $594.65 / $594.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.66 / $510.01 / $1,012.97