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Maine rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $85.11 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $35.48 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $47.86 / $75.86