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Maine rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.70 / $91.70 / $265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $66.01 / $91.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.37 / $174.09 / $322.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.83 / $72.69 / $72.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $111.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $70.80
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.50 / $135.97 / $145.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.32 / $122.32 / $122.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.00 / $265.00 / $265.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $66.01 / $91.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $75.37 / $173.32