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Maine rates for HCPCS L6920

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.73 / $6,165.37 / $6,165.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,141.76 / $10,548.41 / $19,553.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,893.57 / $5,111.57 / $6,872.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,417.62 / $6,541.83 / $6,728.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $6,541.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,411.76 / $7,411.76 / $7,411.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,154.43 / $6,165.37 / $6,165.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.97 / $6,157.94 / $12,675.51