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Maine rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,032.36 / $13,922.92 / $13,922.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,386.09 / $23,820.90 / $44,156.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,303.16 / $12,009.60 / $15,519.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $12,752.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.58 / $16,737.58 / $16,737.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,639.96 / $13,922.92 / $13,922.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,875.52 / $10,851.67 / $23,717.33