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Maine rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $140.43 / $140.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.44 / $240.25 / $445.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $133.06 / $156.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.16 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $175.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $168.82 / $168.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $140.43 / $140.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $156.72 / $239.22