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Maine rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.99 / $1,751.77 / $1,751.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,566.84 / $3,325.57 / $6,164.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.39 / $1,459.59 / $1,459.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $2,121.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $1,499.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.69 / $2,336.69 / $2,336.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.04 / $1,751.77 / $1,751.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.87 / $1,439.81 / $3,311.13