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Maine rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.00 / $1,439.72 / $1,439.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.23 / $2,463.23 / $4,566.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.52 / $1,248.52 / $1,604.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,571.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,222.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.77 / $1,730.77 / $1,730.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.63 / $1,439.72 / $1,439.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.97 / $1,066.46 / $2,452.52