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Maine rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $512.86 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,230.27