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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
$204.17 / $234.42 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $281.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $269.15 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $302.00 / $426.58