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Maine rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.90 / $172.13 / $172.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.22 / $326.77 / $605.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $135.72 / $135.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $208.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $150.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.60 / $229.60 / $229.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.51 / $172.13 / $172.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.32 / $141.47 / $325.35