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Maine rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,168.69 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,454.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,630.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,344.23 / $3,311.31