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Maine rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $61.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29