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Maine rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $260.42 / $260.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.90 / $445.55 / $825.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.58 / $232.24 / $290.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.05 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $213.51 / $292.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.07 / $313.07 / $313.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.71 / $260.42 / $260.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.60 / $192.90 / $443.61