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Maine rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.39 / $573.24 / $573.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.00 / $980.76 / $1,818.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.98 / $407.35 / $638.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $625.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.13 / $689.13 / $689.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.24 / $573.24 / $573.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.08 / $479.83 / $976.49