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Maine rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $8,913 · 10th–90th $5,888–$10,7150%20%40%10th90th$8,913Professionalmedian $5,012 · 10th–90th $3,715–$8,7100%10%20%10th90th$5,012$5.0K$10.0K$20.0K$50.0K

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
$3,715.35 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,000.00 / $11,481.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,025.60 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $8,912.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,011.87 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,265.80 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,413.10 / $7,413.10