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Maine rates for HCPCS L6648

Upper extremity addition, shoulder lock mechanism, external powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.66 / $2,581.40 / $2,581.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,408.89 / $4,416.54 / $8,186.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.16 / $2,238.63 / $2,877.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $2,540.30 / $2,817.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $1,854.42 / $2,540.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,103.25 / $3,103.25 / $3,103.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.13 / $2,581.40 / $2,581.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.44 / $1,912.15 / $4,397.34