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Maine rates for HCPCS L1836

Knee Orthosis Rigid Without Joint(S) Includes Soft Interface Material Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $95.25 / $95.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.58 / $118.65 / $219.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $91.65 / $91.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $76.68 / $115.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $55.98 / $76.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.06 / $127.06 / $127.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.35 / $95.25 / $95.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.64 / $71.01 / $71.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.19 / $78.29 / $180.03