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Maine rates for HCPCS L2036

Knee Ankle Foot Orthosis Full Plastic Double Upright With Or Without Free Motion Ankle Customfabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.68 / $1,691.61 / $1,691.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,478.69 / $3,211.37 / $5,952.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.95 / $1,333.84 / $1,333.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $2,048.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $953.43 / $1,306.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.44 / $2,256.44 / $2,256.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.91 / $1,691.61 / $1,691.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.91 / $1,342.73 / $3,197.41