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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
$1,737.80 / $1,995.26 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,570.88 / $5,248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,511.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,981.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,290.87 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,630.27 / $3,715.35