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Maine rates for HCPCS L6885

Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.36 / $2,574.78 / $2,574.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,400.16 / $4,405.22 / $8,165.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.56 / $2,439.60 / $2,870.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,407.09 / $3,297.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,095.30 / $3,095.30 / $3,095.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.59 / $2,574.78 / $2,574.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.50 / $2,918.60 / $4,386.08