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Maine rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $16.80 / $16.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $28.75 / $53.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $14.91 / $18.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $18.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $16.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $20.20 / $20.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $16.80 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $12.45 / $28.62