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Maine rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.32 / $245.58 / $245.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.31 / $420.17 / $778.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $178.48 / $273.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $267.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $174.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.23 / $295.23 / $295.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.31 / $245.58 / $245.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $210.24 / $418.34