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Maine rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.50 / $105.26 / $105.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.22 / $199.82 / $370.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $110.66 / $110.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.57 / $144.01 / $144.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $105.13 / $144.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $140.40 / $140.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.64 / $105.26 / $105.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $93.32 / $198.95