go back

Maine rates for HCPCS L1300

Other Scoliosis Procedure, Body Jacket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.70 / $1,215.08 / $1,215.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.45 / $2,306.73 / $4,275.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.98 / $1,200.91 / $1,200.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,471.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $932.55 / $1,277.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.81 / $1,620.81 / $1,620.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.18 / $1,215.08 / $1,215.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.80 / $1,012.73 / $2,296.69