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Maine rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Facilitymedian $603 · 10th–90th $288–$7410%20%10th90th$603Professionalmedian $275 · 10th–90th $219–$5890%20%10th90th$275$200.0$500.0$1.0K$2.0K

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
$218.78 / $275.42 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $251.19 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $467.74 / $512.86