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Maine rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Facilitymedian $3,162 · 10th–90th $1,778–$3,6310%20%40%10th90th$3,162Professionalmedian $1,585 · 10th–90th $1,175–$2,7540%10%10th90th$1,585$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,445.44 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,162.28 / $3,630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,778.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,818.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,621.81 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,344.23 / $2,344.23