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Maine rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Facilitymedian $389 · 10th–90th $240–$5010%20%10th90th$389Professionalmedian $234 · 10th–90th $162–$3800%10%20%10th90th$234$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
$162.18 / $218.78 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $436.52 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $239.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $316.23 / $323.59