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Maine rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $416.87 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $371.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $158.49 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $331.13