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Maine rates for HCPCS L6611

Addition to upper extremity prosthesis, external powered, additional switch, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $467.74