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Maine rates for HCPCS L8330

Truss Addition To Standard Pad Scrotal Pad (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $53.21 / $53.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.26 / $91.03 / $168.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.21 / $37.82 / $59.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $37.03 / $58.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $27.03 / $37.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.97 / $63.97 / $63.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $53.21 / $53.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $39.40 / $90.64