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Maine rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.08 / $2,666.38 / $2,666.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,521.13 / $4,561.93 / $8,456.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.20 / $2,739.20 / $3,043.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,001.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.42 / $3,205.42 / $3,205.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.67 / $2,666.38 / $2,666.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,357.69 / $4,542.10