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Maine rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $549.54 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $489.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $295.12 / $407.38