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Maine rates for HCPCS L1230

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), M

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.63 / $437.08 / $437.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.46 / $829.77 / $1,538.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.02 / $408.67 / $408.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $529.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $400.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.02 / $583.02 / $583.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.47 / $437.08 / $437.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.50 / $359.24 / $826.15