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Maine rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $372.05 / $372.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.31 / $636.54 / $1,179.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $264.39 / $414.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $406.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.26 / $447.26 / $447.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.05 / $372.05 / $372.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.73 / $311.43 / $633.78