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Maine rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.56 / $3,518.45 / $3,518.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,646.32 / $6,019.74 / $11,158.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.43 / $2,839.82 / $3,922.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $3,839.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,029.93 / $2,780.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,229.72 / $4,229.72 / $4,229.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,941.52 / $3,518.45 / $3,518.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.50 / $3,345.05 / $5,993.58