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Maine rates for HCPCS L6704

Terminal Device, Sport/Recreational/Work Attachment,Any Materiany

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $473.40 / $473.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.16 / $809.95 / $1,501.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.28 / $448.56 / $527.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $527.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.11 / $569.11 / $569.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.78 / $473.40 / $473.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $350.67 / $806.43