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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
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $60.00 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $117.89 / $117.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $51.76 / $51.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $51.76 / $51.76