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Maine rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $218.89 / $218.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.06 / $374.51 / $694.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $155.55 / $244.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $238.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $184.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.14 / $263.14 / $263.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.01 / $218.89 / $218.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.10 / $162.13 / $372.88