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Maine rates for HCPCS L6676

Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $181.97 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $97.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $95.50 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $109.65 / $154.88