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Maine rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $23.10 / $23.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $39.54 / $73.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $16.42 / $25.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.77 / $27.77 / $27.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $23.10 / $23.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $19.34 / $39.35