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Maine rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.48 / $1,035.05 / $1,035.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.86 / $1,770.89 / $3,282.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.17 / $735.53 / $1,153.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.21 / $812.21 / $1,129.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.91 / $592.91 / $812.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.30 / $1,244.30 / $1,244.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.34 / $1,035.05 / $1,035.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.14 / $766.70 / $2,127.98