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Maine rates for HCPCS L2040

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Rotation Straps Pelvic Band/Belt Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.73 / $155.22 / $155.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.46 / $294.69 / $546.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.68 / $127.64 / $127.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $187.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $142.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.06 / $207.06 / $207.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.99 / $155.22 / $155.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.06 / $127.58 / $293.39