go back

Maine rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $78.84 / $78.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.56 / $149.72 / $277.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $62.43 / $62.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $95.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $52.69 / $72.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $105.19 / $105.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.75 / $78.84 / $78.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $64.81 / $149.05