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Maine rates for HCPCS L6200

Elbow disarticulation, molded socket, outside locking hinge, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.10 / $2,686.90 / $2,686.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.22 / $4,597.04 / $8,521.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.39 / $2,089.50 / $2,995.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $2,694.60 / $2,932.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $2,694.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.08 / $3,230.08 / $3,230.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.32 / $2,686.90 / $2,686.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.86 / $1,990.30 / $4,577.06