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Maine rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.93 / $226.43 / $226.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.02 / $387.40 / $718.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.41 / $214.55 / $252.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.70 / $244.07 / $247.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $178.17 / $244.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $272.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.31 / $226.43 / $226.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.82 / $167.72 / $385.71