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Maine rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,760.83 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $14,454.40 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $12,882.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $8,317.64 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,495.41 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $8,511.38 / $11,748.98