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Maine rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65