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Maine rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.50 / $868.59 / $868.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.03 / $1,486.09 / $2,754.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.29 / $738.38 / $968.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.15 / $930.44 / $947.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $679.22 / $930.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.18 / $1,044.18 / $1,044.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.18 / $868.59 / $868.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.93 / $761.54 / $1,479.64