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Maine rates for HCPCS L1730

Legg Perthes Orthotic, (Scottish Rite Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.57 / $969.06 / $969.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.94 / $1,839.67 / $3,410.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.39 / $813.68 / $813.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,173.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $771.87 / $1,057.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.64 / $1,292.64 / $1,292.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.95 / $969.06 / $969.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.99 / $796.49 / $1,831.68