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Maine rates for HCPCS L0120

Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $18.14 / $18.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $34.45 / $63.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $19.07 / $19.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.95 / $22.18 / $22.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $22.18 / $22.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $24.21 / $24.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $17.95 / $18.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $14.92 / $34.29