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Maine rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $302.00 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $269.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $144.54 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $223.87