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Maine rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,737.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $870.96 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,071.52 / $1,513.56