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Maine rates for HCPCS L6884

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.88 / $1,820.26 / $1,820.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.76 / $3,114.30 / $5,772.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $1,709.94 / $2,029.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.25 / $2,188.25 / $2,188.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.80 / $1,820.26 / $1,820.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.99 / $2,014.15 / $3,100.78