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Maine rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.97 / $256.95 / $256.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.50 / $487.79 / $904.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.57 / $215.39 / $215.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $311.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $218.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.74 / $342.74 / $342.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.37 / $256.95 / $256.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.79 / $211.19 / $485.68