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Maine rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.18 / $524.35 / $524.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.44 / $897.12 / $1,662.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.16 / $485.52 / $584.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.82 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $484.22 / $663.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.35 / $630.35 / $630.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.38 / $524.35 / $524.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.12 / $584.71 / $802.68