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Maine rates for HCPCS L6570

Interscapular Thoracic Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.21 / $4,493.64 / $4,493.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,934.16 / $7,688.25 / $14,251.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,194.59 / $3,352.35 / $5,009.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.38 / $3,943.38 / $4,903.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.67 / $2,878.67 / $3,943.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,402.08 / $5,402.08 / $5,402.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,756.83 / $4,493.64 / $4,493.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.08 / $3,328.63 / $7,654.81