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Maine rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $58.04 / $58.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.63 / $99.28 / $184.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $49.69 / $64.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $63.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $50.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $69.77 / $69.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $58.04 / $58.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $58.52 / $98.85