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Maine rates for HCPCS L1860

Knee Orthosis Modification Of Supracondylar Prosthetic Socket Custom-Fabricated (Sk)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.79 / $775.80 / $775.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.78 / $1,472.80 / $2,730.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.27 / $771.44 / $771.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $755.39 / $939.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $551.42 / $755.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.83 / $1,034.83 / $1,034.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.67 / $775.80 / $775.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.68 / $743.49 / $1,466.39