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Maine rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Facilitymedian $4,169 · 10th–90th $2,089–$5,0120%20%10th90th$4,169Professionalmedian $2,089 · 10th–90th $1,514–$4,0740%10%10th90th$2,089$1.0K$2.0K$5.0K$10.0K

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
$1,479.11 / $1,905.46 / $6,165.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,677.35 / $5,370.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,630.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,168.69
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $3,311.31 / $3,467.37