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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
$1,659.59 / $2,089.30 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,466.84 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $2,344.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,981.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $3,630.78