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Maine rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $23.45 / $23.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.36 / $44.51 / $82.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $22.78 / $22.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $23.10 / $28.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $23.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.27 / $31.27 / $31.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $23.45 / $23.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $19.27 / $44.31