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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
$933.25 / $1,122.02 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,089.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,995.26