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Maine rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.08 / $556.58 / $556.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.98 / $952.24 / $1,765.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.79 / $516.08 / $620.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.36 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $474.45 / $649.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.09 / $669.09 / $669.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.32 / $556.58 / $556.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.85 / $412.28 / $948.11