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Maine rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.29 / $789.67 / $789.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.81 / $1,351.06 / $2,504.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.70 / $595.89 / $880.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $861.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $583.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.31 / $949.31 / $949.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.18 / $789.67 / $789.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.96 / $701.92 / $1,345.18