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Maine rates for HCPCS L2850

Addition to lower extremity orthosis, femoral length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $54.21 / $54.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.42 / $102.90 / $190.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $44.51 / $44.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $43.58 / $65.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $31.81 / $43.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $72.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $54.21 / $54.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $44.56 / $102.49