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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
$550.04 / $741.30 / $741.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.94 / $1,268.30 / $2,351.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.60 / $651.38 / $826.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $808.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $660.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.16 / $891.16 / $891.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.75 / $741.30 / $741.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.07 / $549.11 / $1,262.78