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Maine rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.75 / $1,422.37 / $1,422.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.33 / $2,433.55 / $4,511.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.51 / $1,233.51 / $1,585.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,552.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $881.72 / $1,207.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.92 / $1,709.92 / $1,709.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.14 / $1,422.37 / $1,422.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.00 / $1,053.60 / $2,422.96