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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
$31.31 / $43.50 / $43.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.74 / $82.59 / $153.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $45.74 / $45.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.24 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $52.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $58.03 / $58.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $43.50 / $43.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $35.75 / $99.23