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Maine rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.54 / $921.73 / $921.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.59 / $1,749.81 / $3,243.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.15 / $947.34 / $947.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.58 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.50 / $1,229.50 / $1,229.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.05 / $921.73 / $921.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.06 / $798.88 / $1,742.22