go back

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
$150.75 / $209.42 / $209.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.85 / $397.56 / $736.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.80 / $166.45 / $166.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $253.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $139.27 / $190.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $279.33 / $279.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.65 / $209.42 / $209.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $172.12 / $395.84