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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
$155.08 / $215.44 / $215.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.68 / $409.00 / $758.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.22 / $202.33 / $202.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $152.53 / $205.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.38 / $287.38 / $287.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.85 / $215.44 / $215.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.87 / $177.08 / $407.22