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Maine rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Facilitymedian $3,467 · 10th–90th $1,738–$3,9810%20%10th90th$3,467Professionalmedian $1,738 · 10th–90th $1,288–$3,0200%10%10th90th$1,738$1.0K$2.0K$5.0K$10.0K

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
$1,288.25 / $1,659.59 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,467.37 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,737.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $3,090.30
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,737.80 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,819.70 / $1,819.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,570.40 / $2,754.23