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Maine rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.46 / $4,013.10 / $4,013.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.55 / $6,866.06 / $12,727.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.85 / $2,853.54 / $4,473.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $4,379.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $2,784.06 / $3,813.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,824.39 / $4,824.39 / $4,824.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,355.07 / $4,013.10 / $4,013.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.78 / $2,972.66 / $6,836.21