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Maine rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $420.71 / $420.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.46 / $798.68 / $1,480.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.12 / $331.73 / $331.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $509.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $379.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.19 / $561.19 / $561.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.27 / $420.71 / $420.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.53 / $345.79 / $795.21