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Maine rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Facilitymedian $1,230 · 10th–90th $617–$1,4790%20%10th90th$1,230Professionalmedian $550 · 10th–90th $417–$1,2020%20%10th90th$550$500.0$1.0K$2.0K$5.0K

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
$389.05 / $537.03 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,380.38 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $616.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $537.03 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $575.44 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $933.25 / $1,023.29