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Maine rates for HCPCS L2190

Addition To Lower Extremity Fracture Orthosis Waist Belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.32 / $79.63 / $79.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.67 / $151.16 / $280.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $62.79 / $62.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $96.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $61.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $79.63 / $79.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $65.45 / $150.51