go back

Maine rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $501.19 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $165.96 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $371.54