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Maine rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.42 / $3,263.91 / $3,263.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,310.20 / $5,584.26 / $10,351.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.71 / $2,361.41 / $3,638.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $3,561.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $1,983.86 / $2,717.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,923.74 / $3,923.74 / $3,923.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.73 / $3,263.91 / $3,263.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.81 / $2,434.61 / $5,560.00