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Maine rates for HCPCS 97760

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes

Facilitymedian $138 · 10th–90th $79–$3980%20%10th90th$138Professionalmedian $38 · 10th–90th $22–$890%10%10th90th$38$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $66.07 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $36.31 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $89.13