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Maine rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.44 / $210.08 / $210.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.83 / $398.83 / $739.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.35 / $202.16 / $202.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $254.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $197.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.22 / $280.22 / $280.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $210.08 / $210.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.11 / $172.67 / $397.08