go back

Maine rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.28 / $84.32 / $84.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.55 / $160.07 / $296.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $80.80 / $80.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $102.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $92.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.47 / $112.47 / $112.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.04 / $84.31 / $84.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $69.30 / $159.37