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Maine rates for HCPCS L0220

Thoracic, Rib Belt, Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $90.96 / $90.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.29 / $172.68 / $320.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.03 / $88.04 / $88.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $86.21 / $110.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $62.93 / $86.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.33 / $121.33 / $121.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.85 / $90.96 / $90.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.84 / $74.76 / $171.93