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Maine rates for HCPCS L2106

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.24 / $619.91 / $619.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.36 / $1,176.86 / $2,181.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.53 / $488.81 / $488.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $750.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $402.09 / $550.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.92 / $826.92 / $826.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.07 / $619.91 / $619.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.68 / $584.78 / $1,171.76