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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
$371.54 / $489.78 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $645.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $870.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $436.52 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $851.14