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Maine rates for HCPCS L5642

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

Facilitymedian $776 · 10th–90th $490–$9330%20%10th90th$776Professionalmedian $468 · 10th–90th $339–$7590%10%10th90th$468$500.0$1.0K$2.0K$5.0K

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
$331.13 / $436.52 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $891.25 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $776.25
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $645.65 / $707.95