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Maine rates for HCPCS L1270

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad

Facilitymedian $100 · 10th–90th $60$1200%20%10th90th$100Professionalmedian $54 · 10th–90th $39$910%20%10th90th$54$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $100.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $54.95 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $43.65 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $83.18 / $85.11