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Maine rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $142.80 / $142.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.24 / $271.08 / $502.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $112.60 / $112.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $172.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $121.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $190.49 / $190.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $142.80 / $142.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $117.37 / $269.92