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Maine rates for HCPCS L6930

Below Elbow 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
$4,465.03 / $6,011.18 / $6,011.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,938.15 / $10,284.61 / $19,064.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,923.92 / $5,143.27 / $6,700.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,257.11 / $6,300.68 / $6,559.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,300.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,226.40 / $7,226.40 / $7,226.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,025.53 / $6,011.18 / $6,011.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.48 / $6,058.30 / $10,239.89