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Maine rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $475.15 / $475.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.46 / $812.94 / $1,506.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.20 / $450.20 / $529.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $518.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $448.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.20 / $571.20 / $571.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.24 / $475.15 / $475.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $351.96 / $809.40