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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
$64.57 / $83.18 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $177.83 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $69.18 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $87.10 / $154.88