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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
$212.00 / $294.52 / $294.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $559.12 / $1,036.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.22 / $256.33 / $256.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $356.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $183.23 / $251.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.86 / $392.86 / $392.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $294.52 / $294.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $242.07 / $556.67