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Maine rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $41.55 / $41.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.88 / $78.87 / $146.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $43.68 / $43.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $42.77 / $50.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $31.22 / $42.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.42 / $55.42 / $55.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $41.55 / $41.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $33.85 / $33.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $34.15 / $78.53