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Maine rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.52 / $315.17 / $315.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.81 / $598.32 / $1,109.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.87 / $315.24 / $315.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.02 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $282.89 / $387.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.40 / $420.40 / $420.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.37 / $315.17 / $315.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $264.92 / $595.72