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Maine rates for HCPCS L6350

Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.96 / $3,166.30 / $3,166.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,181.30 / $5,417.26 / $10,041.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.13 / $3,000.07 / $3,529.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.83 / $3,798.08 / $3,798.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.60 / $2,772.60 / $3,798.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,806.40 / $3,806.40 / $3,806.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,647.12 / $3,166.30 / $3,166.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.60 / $3,533.81 / $5,393.71