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Maine rates for HCPCS L1005

Tension Based Scoliosis Orthosis And Accessory Pads Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.19 / $2,284.62 / $2,284.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.63 / $4,337.17 / $8,039.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.37 / $2,198.38 / $2,198.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,766.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $1,698.53 / $2,326.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.47 / $3,047.47 / $3,047.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.05 / $2,284.62 / $2,284.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.84 / $1,877.77 / $4,318.27