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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
$211.97 / $326.75 / $326.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.49 / $559.04 / $1,036.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.35 / $283.35 / $364.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.50 / $321.50 / $321.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $234.70 / $321.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.80 / $392.80 / $392.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.17 / $326.75 / $326.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $338.98 / $556.60