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Maine rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $91.58 / $91.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.18 / $173.85 / $322.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $89.65 / $89.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $110.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $89.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.16 / $122.16 / $122.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.95 / $91.58 / $91.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $75.59 / $208.90