go back

Maine rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.71 / $1,294.36 / $1,294.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.29 / $2,214.55 / $4,105.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.06 / $919.80 / $1,442.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $876.09 / $1,200.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.04 / $1,556.04 / $1,556.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.13 / $1,294.36 / $1,294.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.20 / $958.79 / $2,204.92