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Maine rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $32.45 / $32.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.54 / $61.59 / $114.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.13 / $31.56 / $31.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $39.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $22.56 / $30.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.29 / $43.29 / $43.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $32.45 / $32.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $29.35 / $61.32