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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
$275.42 / $316.23 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $645.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $588.84