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Maine rates for HCPCS L3610

Transfer Of An Orthosis From One Shoe To Another Caliper Plate New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $71.72 / $71.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.08 / $136.13 / $252.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $69.01 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $81.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $59.35 / $81.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $95.66 / $95.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $71.72 / $71.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $58.94 / $135.55