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Maine rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.91 / $570.20 / $570.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.98 / $975.56 / $1,808.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.36 / $491.31 / $635.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $622.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $496.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.47 / $685.47 / $685.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.70 / $570.20 / $570.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.95 / $422.37 / $1,172.27