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Maine rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $129.44 / $129.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.93 / $221.46 / $410.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $91.98 / $144.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $90.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.61 / $155.61 / $155.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $129.44 / $129.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.92 / $95.88 / $266.11