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Maine rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.57 / $503.38 / $503.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.76 / $861.25 / $1,596.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.18 / $428.33 / $561.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $549.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $419.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.15 / $605.15 / $605.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.85 / $503.38 / $503.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.01 / $516.01 / $1,034.92