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Maine rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.31 / $412.04 / $412.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.13 / $704.98 / $1,306.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.52 / $357.34 / $459.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $449.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $405.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.34 / $495.34 / $495.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.48 / $412.04 / $412.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.25 / $305.20 / $847.12