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Maine rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $138.04 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.79 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $57.54 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $117.49