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Maine rates for HCPCS L2020

Knee Ankle Foot Orthosis Double Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Double Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.01 / $1,015.52 / $1,015.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.03 / $1,927.88 / $3,573.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.54 / $839.45 / $839.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $1,229.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $606.53 / $830.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.61 / $1,354.61 / $1,354.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.05 / $1,015.52 / $1,015.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.45 / $834.68 / $1,919.50