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Maine rates for HCPCS L8410

Prosthetic Sheath Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $22.32 / $22.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.48 / $38.20 / $70.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $15.88 / $24.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $24.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.13 / $16.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $26.83 / $26.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $22.32 / $22.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $16.54 / $38.03