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Maine rates for HCPCS L8430

Prosthetic sock, multiple ply, above knee (AK), each

Facilitymedian $30 · 10th–90th $17–$370%20%10th90th$30Professionalmedian $17 · 10th–90th $12–$300%10%20%10th90th$17$10.0$20.0$50.0$100.0

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
$12.02 / $15.14 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.90
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $16.60 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $24.55 / $25.70