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Maine rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $34.67 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $30.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.45 / $30.20