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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
$66.53 / $102.55 / $102.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.41 / $175.45 / $325.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $92.89 / $114.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $111.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $97.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $123.28 / $123.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.73 / $102.55 / $102.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $83.12 / $174.70