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Maine rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.76 / $2,505.39 / $2,505.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.54 / $4,286.52 / $7,945.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $178.70 / $3,053.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,011.89 / $3,011.89 / $3,011.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.00 / $2,505.39 / $2,505.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.23 / $2,559.92 / $4,267.89