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Maine rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.57 / $298.37 / $298.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.01 / $510.48 / $946.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.06 / $259.26 / $332.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $325.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $280.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.69 / $358.69 / $358.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $298.37 / $298.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $305.38 / $508.27