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Maine rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $537 · 10th–90th $245–$6460%20%10th90th$537Professionalmedian $240 · 10th–90th $191–$5130%20%10th90th$240$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
$186.21 / $229.09 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $602.56 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $537.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $407.38 / $446.68