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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
$56.48 / $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
$64.14 / $69.01 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.56
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
$41.57 / $58.94 / $163.59