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Maine rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $50.65 / $50.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $96.17 / $178.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $48.25 / $48.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.49 / $65.20 / $65.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $65.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $50.65 / $50.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $41.63 / $95.73