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Maine rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $122.13 / $122.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.28 / $208.96 / $387.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.08 / $112.06 / $136.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $133.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $113.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.82 / $146.82 / $146.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.11 / $122.13 / $122.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $90.47 / $208.06