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Maine rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.91 / $2,620.33 / $2,620.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,460.32 / $4,483.16 / $8,310.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.37 / $2,205.98 / $2,920.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,859.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,160.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,150.06 / $3,150.06 / $3,150.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.67 / $2,620.33 / $2,620.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.79 / $1,940.99 / $4,463.67