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Maine rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $56.93 / $56.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $108.09 / $200.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $59.86 / $59.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.76 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $71.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $75.94 / $75.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $56.93 / $56.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $46.79 / $107.62