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Maine rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Facilitymedian $871 · 10th–90th $427–$1,0470%20%10th90th$871Professionalmedian $427 · 10th–90th $339–$8510%10%20%10th90th$427$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
$302.00 / $407.38 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $977.24 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $870.96
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $426.58 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $446.68 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $691.83 / $724.44