go back

Maine rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.42 / $136.30 / $136.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $233.20 / $432.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.15 / $129.15 / $151.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.88 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $124.75 / $170.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.86 / $163.86 / $163.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.96 / $136.30 / $136.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.80 / $100.96 / $232.19