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Maine rates for HCPCS L6205

Elbow Disarticulation Molded Socket With Expandable Interface Outside Locking Hinges Forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.33 / $3,724.66 / $3,724.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.64 / $6,372.56 / $11,812.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.21 / $2,789.16 / $4,151.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $4,064.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $2,572.44 / $3,523.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,477.63 / $4,477.63 / $4,477.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,113.91 / $3,724.66 / $3,724.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.34 / $2,875.98 / $6,344.85