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Maine rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.33 / $410.56 / $410.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.58 / $779.40 / $1,444.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.47 / $392.47 / $392.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $319.38 / $437.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.65 / $547.65 / $547.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.04 / $410.56 / $410.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.96 / $337.45 / $776.01