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Maine rates for HCPCS L6586

Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.10 / $1,677.53 / $1,677.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.29 / $2,870.11 / $5,320.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.04 / $1,442.56 / $1,869.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.16 / $1,747.16 / $1,830.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.43 / $1,275.43 / $1,747.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.67 / $2,016.67 / $2,016.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.46 / $1,677.53 / $1,677.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.93 / $1,699.21 / $2,857.63