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Maine rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.52 / $216.81 / $216.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.68 / $411.59 / $762.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $192.26 / $192.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $218.57 / $262.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $159.56 / $218.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.20 / $289.20 / $289.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.11 / $216.81 / $216.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.80 / $178.20 / $409.80