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Maine rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.27 / $1,629.91 / $1,629.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.27 / $3,094.23 / $5,735.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.58 / $1,285.18 / $1,285.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,973.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,544.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.14 / $2,174.14 / $2,174.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.99 / $1,629.91 / $1,629.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.10 / $1,339.65 / $3,080.77