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Maine rates for HCPCS L6881

Automatic Grasp Feature Addition To Upper Limb Electric Prosthetic Terminal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.71 / $3,244.31 / $3,244.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,284.32 / $5,550.73 / $10,289.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.51 / $2,813.51 / $3,616.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $3,540.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $2,801.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.18 / $3,900.18 / $3,900.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.34 / $3,244.31 / $3,244.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.13 / $2,403.19 / $5,526.59