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Maine rates for HCPCS L0830

Halo procedure, cervical halo incorporated into Milwaukee type orthotic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.33 / $2,561.37 / $2,561.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,753.13 / $4,862.52 / $9,013.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.62 / $2,254.39 / $2,254.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.59 / $2,507.59 / $3,101.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $1,830.54 / $2,507.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,416.61 / $3,416.61 / $3,416.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.06 / $2,561.37 / $2,561.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.49 / $2,105.23 / $4,841.39