go back

Maine rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $59.59 / $59.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.69 / $101.96 / $188.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $51.73 / $66.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $65.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.64 / $71.64 / $71.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.82 / $59.59 / $59.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $60.93 / $101.50