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Maine rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $300.24 / $300.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.49 / $513.67 / $952.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $223.53 / $334.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $327.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $177.53 / $243.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.94 / $360.94 / $360.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.02 / $300.24 / $300.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.27 / $222.40 / $617.26