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Maine rates for HCPCS L2800

Addition To Lower Extremity Orthosis Knee Control Knee Cap Medial Or Lateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $97.26 / $97.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.51 / $184.63 / $342.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.28 / $76.69 / $76.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $117.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $75.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $129.72 / $129.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $97.26 / $97.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $79.94 / $183.82