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Maine rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.20 / $1,326.96 / $1,326.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.37 / $2,519.11 / $4,669.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.83 / $1,097.88 / $1,097.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,606.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,212.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.03 / $1,770.03 / $1,770.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.95 / $1,326.96 / $1,326.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.10 / $1,090.65 / $2,508.17