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Maine rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,445.78 / $6,680.78 / $6,680.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,822.40 / $11,430.24 / $21,188.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,539.38 / $5,786.14 / $7,447.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $7,290.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $4,783.71 / $6,553.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,031.38 / $8,031.38 / $8,031.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,585.33 / $6,680.78 / $6,680.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.30 / $6,970.60 / $13,735.14