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Maine rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,148.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $676.08 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $758.58 / $1,071.52