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Maine rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.28 / $543.28 / $543.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.44 / $929.51 / $1,723.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.77 / $480.25 / $605.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.51 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.11 / $653.11 / $653.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $543.28 / $543.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.82 / $564.79 / $925.46