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Maine rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.19 / $1,282.77 / $1,282.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.99 / $2,194.71 / $4,068.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.24 / $1,215.44 / $1,429.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $1,551.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.10 / $1,542.10 / $1,542.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.44 / $1,282.77 / $1,282.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $1,431.67 / $2,185.17