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Maine rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $407.38 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $128.82 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $302.00