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Maine rates for HCPCS L3710

Elbow Orthosis Elastic With Metal Joints Pre- Fabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $103.88 / $103.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.21 / $197.20 / $365.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $86.96 / $86.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $125.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $85.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $138.57 / $138.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $103.88 / $103.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $85.38 / $196.34