go back

Maine rates for HCPCS L5585

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.06 / $2,225.27 / $2,225.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,938.61 / $3,807.25 / $7,057.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.10 / $1,959.67 / $2,480.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.31 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $1,877.39 / $2,571.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.14 / $2,675.14 / $2,675.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.40 / $2,225.27 / $2,225.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.90 / $2,308.31 / $3,790.69