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Maine rates for HCPCS L6690

Upper extremity addition, frame type socket, interscapular-thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.66 / $583.70 / $583.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.82 / $998.66 / $1,851.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.88 / $526.66 / $650.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.57 / $695.50 / $695.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.72 / $507.72 / $695.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.70 / $701.70 / $701.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.98 / $583.70 / $583.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.24 / $432.37 / $994.31