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Maine rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $45.27 / $45.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $77.45 / $143.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $35.28 / $50.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $49.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $34.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.43 / $54.43 / $54.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $45.27 / $45.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $42.50 / $77.11