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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
$33.11 / $40.74 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $81.28 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $33.88 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $41.69 / $69.18