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Maine rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $27.16 / $27.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.79 / $51.55 / $95.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $28.55 / $28.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $32.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $29.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $36.22 / $36.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $27.16 / $27.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $24.08 / $51.33