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Maine rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.61 / $1,701.18 / $1,701.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.52 / $2,910.57 / $5,395.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.38 / $1,454.96 / $1,896.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,856.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $1,424.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.09 / $2,045.09 / $2,045.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.25 / $1,701.18 / $1,701.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.09 / $1,500.36 / $2,897.91