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Maine rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.60 / $853.34 / $853.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.91 / $1,460.01 / $2,706.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.03 / $740.03 / $951.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $931.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $528.98 / $724.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.84 / $1,025.84 / $1,025.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.42 / $853.34 / $853.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.40 / $632.11 / $1,453.65