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Maine rates for HCPCS L0976

Lumbar-Sacral Orthotic (Lso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.13 / $116.88 / $116.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.26 / $221.89 / $411.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $114.96 / $114.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $141.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $116.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $155.90 / $155.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.42 / $116.88 / $116.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $96.94 / $220.91