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Maine rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $616.60 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $537.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $338.84 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $275.42 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $478.63