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Maine rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.82 / $2,883.78 / $2,883.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.21 / $4,933.88 / $9,145.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.84 / $2,500.84 / $3,214.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $3,147.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $2,448.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,466.77 / $3,466.77 / $3,466.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.92 / $2,883.78 / $2,883.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.09 / $2,200.44 / $4,912.43