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Maine rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $78.66 / $78.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.26 / $149.33 / $276.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $62.02 / $62.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $95.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $73.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $104.92 / $104.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $78.66 / $78.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $64.65 / $148.66