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Maine rates for HCPCS L2126

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.84 / $981.94 / $981.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.83 / $1,864.13 / $3,455.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.98 / $860.88 / $860.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,189.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $615.36 / $842.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.82 / $1,309.82 / $1,309.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.90 / $981.94 / $981.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $807.08 / $1,856.03