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Maine rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.71 / $235.39 / $235.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.85 / $402.74 / $746.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.23 / $195.58 / $262.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $256.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $220.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.98 / $282.98 / $282.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.79 / $235.39 / $235.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $230.38 / $400.98