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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
$162.18 / $199.53 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $173.78 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $251.19 / $346.74