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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
$1,122.02 / $1,412.54 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,513.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,019.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,511.89