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Maine rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.41 / $1,440.33 / $1,440.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.05 / $2,464.29 / $4,568.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.51 / $1,174.59 / $1,605.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $1,571.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,028.19 / $1,408.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.51 / $1,731.51 / $1,731.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.18 / $1,440.33 / $1,440.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.28 / $1,066.91 / $2,453.59