go back

Maine rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $402.09 / $402.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.99 / $687.95 / $1,275.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.05 / $381.05 / $448.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $438.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.38 / $483.38 / $483.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.16 / $402.09 / $402.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.21 / $483.38 / $684.95