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Maine rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.61 / $300.93 / $300.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.95 / $571.29 / $1,058.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.70 / $241.60 / $241.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $364.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $236.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.41 / $401.41 / $401.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.14 / $300.93 / $300.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.89 / $247.34 / $568.78