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Maine rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.29 / $299.08 / $299.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.24 / $567.78 / $1,052.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.09 / $235.83 / $235.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $362.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $177.79 / $230.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.95 / $398.95 / $398.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.45 / $299.08 / $299.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $245.83 / $565.33