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Maine rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $2,159.63 / $2,159.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.92 / $3,694.93 / $6,849.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.37 / $1,822.08 / $2,407.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,784.15 / $2,356.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,302.43 / $1,784.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,596.21 / $2,596.21 / $2,596.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.51 / $2,159.63 / $2,159.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.48 / $1,878.60 / $3,678.88