go back

Maine rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $232.29 / $232.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.75 / $397.43 / $736.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.09 / $165.07 / $258.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $253.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $117.99 / $161.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.25 / $279.25 / $279.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.21 / $232.29 / $232.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.54 / $170.54 / $170.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.71 / $172.07 / $395.71