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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
$338.84 / $446.68 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $977.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $812.83