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Maine rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.89 / $941.74 / $941.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.90 / $1,787.79 / $3,314.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.95 / $768.14 / $768.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $1,140.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $752.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.19 / $1,256.19 / $1,256.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.60 / $941.74 / $941.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $774.03 / $1,780.02