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Maine rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.12 / $209.95 / $209.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.64 / $398.58 / $738.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.99 / $178.02 / $178.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $254.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.05 / $280.05 / $280.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.75 / $209.95 / $209.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.04 / $171.57 / $396.82