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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
$6,663.06 / $8,281.95 / $8,281.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,936.85 / $14,169.69 / $26,266.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,777.58 / $7,079.50 / $9,231.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,620.74 / $8,732.85 / $9,038.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,732.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,956.24 / $9,956.24 / $9,956.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,923.95 / $8,281.95 / $8,281.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,089.85 / $6,134.78 / $14,108.08