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Maine rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $71.78 / $629.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.07 / $59.82 / $59.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.77 / $83.91 / $155.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $62.89 / $62.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $72.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $51.96 / $67.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $86.41 / $629.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.07 / $59.18 / $59.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $58.49 / $113.07