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Maine rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Facilitymedian $2,818 · 10th–90th $1,349–$3,4670%20%10th90th$2,818Professionalmedian $1,230 · 10th–90th $955–$2,7540%20%10th90th$1,230$1.0K$2.0K$5.0K$10.0K

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
$912.01 / $1,202.26 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,235.94 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,380.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,884.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $2,187.76 / $2,398.83