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Maine rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $69.18 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $95.50 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $85.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $70.79 / $107.15