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Maine rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.58 / $2,252.94 / $2,252.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,975.16 / $3,854.59 / $7,145.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.86 / $1,953.79 / $2,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,458.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $1,618.46 / $2,217.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.41 / $2,708.41 / $2,708.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.54 / $2,252.94 / $2,252.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.89 / $2,018.42 / $2,018.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.57 / $1,668.85 / $3,837.83