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Maine rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.16 / $254.44 / $254.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.82 / $483.02 / $895.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $244.84 / $244.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $308.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $183.97 / $252.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.40 / $339.40 / $339.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $254.44 / $254.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.41 / $209.13 / $480.94