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Maine rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.24 / $390.36 / $390.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.50 / $667.87 / $1,238.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.67 / $277.39 / $435.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $426.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $281.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.27 / $469.27 / $469.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $390.36 / $390.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.77 / $326.75 / $664.97