go back

Maine rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Facilitymedian $380 · 10th–90th $174$4570%20%10th90th$380Professionalmedian $178 · 10th–90th $138$3720%10%10th90th$178$100.0$200.0$500.0$1.0K

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
$125.89 / $158.49 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $436.52 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $380.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $165.96 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $186.21 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $295.12 / $316.23