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Maine rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $53.35 / $53.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $101.28 / $187.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $56.09 / $56.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.61 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $66.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.17 / $71.17 / $71.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $53.35 / $53.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $43.86 / $100.83