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Maine rates for HCPCS L2320

Addition to lower extremity, nonmolded lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.15 / $172.47 / $172.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.71 / $327.41 / $606.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.84 / $144.84 / $208.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $144.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.06 / $230.06 / $230.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.21 / $172.47 / $172.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $141.76 / $326.00