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Maine rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.08 / $2,520.40 / $2,520.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,328.34 / $4,312.17 / $7,993.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.88 / $2,162.65 / $2,809.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.49 / $2,677.88 / $2,750.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $1,954.85 / $2,677.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.92 / $3,029.92 / $3,029.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.13 / $2,520.40 / $2,520.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.68 / $2,605.35 / $4,145.39