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Maine rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.63 / $1,535.96 / $1,535.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.61 / $2,915.87 / $5,405.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.19 / $1,453.45 / $1,453.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,859.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,703.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.82 / $2,048.82 / $2,048.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.83 / $1,535.96 / $1,535.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.62 / $1,262.43 / $2,903.19