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Maine rates for HCPCS L1834

Knee orthosis (KO), without knee joint, rigid, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.48 / $707.76 / $707.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.08 / $1,343.63 / $2,490.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.17 / $558.08 / $558.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.73 / $565.73 / $857.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.98 / $412.98 / $565.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.09 / $944.09 / $944.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.56 / $707.76 / $707.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.82 / $581.72 / $1,337.78