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Maine rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $1,023 · 10th–90th $646–$1,2300%20%10th90th$1,023Professionalmedian $589 · 10th–90th $501–$1,0230%20%10th90th$589$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,148.15 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,023.29
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $1,000.00