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Maine rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $25 · 10th–90th $10–$290%20%10th90th$25Professionalmedian $11 · 10th–90th $9–$190%20%10th90th$11$10.0$20.0$50.0$100.0

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
$8.91 / $10.96 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $21.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.12 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.78 / $18.62