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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
$50.12 / $58.88 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $154.88 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $66.07 / $114.82