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Maine rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.28 / $2,685.64 / $2,685.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.54 / $4,594.88 / $8,517.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.42 / $2,027.84 / $2,993.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,930.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,476.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,228.57 / $3,228.57 / $3,228.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.28 / $2,685.64 / $2,685.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.24 / $1,989.36 / $4,574.91