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Maine rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.52 / $2,460.96 / $2,460.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.86 / $4,210.49 / $7,804.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.17 / $2,134.17 / $2,743.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,685.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.47 / $2,958.47 / $2,958.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.42 / $2,460.96 / $2,460.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.53 / $2,513.88 / $4,192.17