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Maine rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Facilitymedian $437 · 10th–90th $234–$5370%20%10th90th$437Professionalmedian $224 · 10th–90th $155–$4270%10%20%10th90th$224$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $501.19 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $436.52
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $190.55 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $363.08 / $371.54