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Ischial Containment/Narrow Medial-Lateral Socket

Maine rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Rates data updated July 2026.

How much does Ischial Containment/Narrow Medial-Lateral Socket cost?

$1,698

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,399 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,698$1,380 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,399$1,820 to $2,692

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,514 to $2,884Professionalmedian $1,698 · 10th to 90th $1,000 to $1,995
$1K$2K$5Kfacility $2,399professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,819.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,995.26
Typical High
$1,995.26

Where Maine sits

The same service costs 2.6 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 20th of 51

$1,698

MN $2,951DE $1,122

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.