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Maine rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.25 / $235.41 / $235.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.87 / $402.76 / $746.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $204.15 / $262.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $231.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.00 / $283.00 / $283.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.81 / $235.41 / $235.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $174.38 / $401.01