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Maine rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $123.03 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $51.29 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $104.71