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Maine rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.16 / $2,813.40 / $2,813.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.28 / $4,813.49 / $8,922.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.55 / $2,363.34 / $3,136.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,928.50 / $2,970.85 / $3,070.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $2,970.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.15 / $3,382.15 / $3,382.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.08 / $2,813.40 / $2,813.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.57 / $2,084.00 / $5,784.12