go back

Maine rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.78 / $2,797.38 / $2,797.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,694.11 / $4,786.07 / $8,871.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.37 / $2,517.37 / $3,118.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,052.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,481.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.89 / $3,362.89 / $3,362.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,338.69 / $2,797.38 / $2,797.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.53 / $2,600.65 / $2,600.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.35 / $2,072.13 / $4,765.28