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Maine rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $141.25 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $114.82