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Maine rates for HCPCS L5060

Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot (SACH)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $5,128.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,890.45 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,630.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,187.76 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $3,467.37