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Maine rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $467.74 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,023.29