go back

Maine rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.45 / $332.10 / $332.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.55 / $568.19 / $1,053.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.94 / $269.94 / $370.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $362.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.24 / $399.24 / $399.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $332.10 / $332.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $317.95 / $565.72