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Maine rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $154.50 / $154.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.38 / $293.29 / $543.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $121.83 / $121.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $187.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $119.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.09 / $206.09 / $206.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.32 / $154.50 / $154.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $126.98 / $292.02