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Maine rates for HCPCS L5644

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.44 / $626.50 / $626.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.34 / $1,071.89 / $1,986.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.10 / $452.39 / $698.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $683.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $458.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.16 / $753.16 / $753.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.79 / $626.50 / $626.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.38 / $464.08 / $1,104.05