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Maine rates for HCPCS L6712

Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.38 / $982.32 / $982.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.21 / $1,680.65 / $3,115.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.81 / $851.90 / $1,095.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.10 / $967.10 / $967.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.98 / $705.98 / $967.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.90 / $1,180.90 / $1,180.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.25 / $982.32 / $982.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.10 / $749.57 / $1,673.36