go back

Maine rates for HCPCS L6590

Preparatory Shoulder Disarticulation Or Interscapular Thoracic Single Wall Socket Shoulder Joint Locking Elbow Friction Wrist Chest Strap Fair Lead Cable Control Usmc Or Equal Pylon No Cover Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.48 / $2,490.92 / $2,490.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,289.43 / $4,261.76 / $7,899.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.14 / $2,015.08 / $2,776.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.11 / $2,425.11 / $2,718.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.33 / $1,770.33 / $2,425.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.50 / $2,994.50 / $2,994.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.48 / $2,490.92 / $2,490.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.08 / $2,373.58 / $4,243.24