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Maine rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $57.72 / $57.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $109.57 / $203.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $55.82 / $55.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $69.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $77.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $57.72 / $57.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $47.44 / $109.10