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Below-Knee Back Check, Extension Control

Maine rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Rates data updated July 2026.

How much does Below-Knee Back Check, Extension Control cost?

$48.98

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $75.86 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$48.98$37.15 to $63.10
FacilityA hospital or hospital-owned outpatient department$75.86$48.98 to $85.11

How much rates vary

Facilitymedian $76 · 10th to 90th $41 to $91Professionalmedian $49 · 10th to 90th $31 to $63
$20.0$50.0$100.0$200.0facility $76professional $49

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
$30.90
Median
$37.15
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$44.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$75.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$37.15
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$40.74
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$63.10
Typical High
$63.10

Where Maine sits

The same service costs 2.6 times more in Hawaii than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $48.98 · 15th of 51
HI $81.28OK $31.62

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.