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Maine rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $199.53 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $426.58