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Maine rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $92.99 / $92.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.26 / $176.53 / $327.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $89.49 / $89.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $112.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $99.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $124.05 / $124.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.27 / $92.99 / $92.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.91 / $86.25 / $175.77