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Maine rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $14.48 / $14.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $24.77 / $45.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $12.06 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $14.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $17.41 / $17.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $14.48 / $14.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $14.20 / $24.66