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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
$1,448.45 / $2,232.71 / $2,232.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,948.43 / $3,819.97 / $7,081.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.27 / $2,115.48 / $2,488.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.05 / $2,637.76 / $2,637.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.56 / $1,925.56 / $2,637.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.08 / $2,684.08 / $2,684.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.61 / $2,232.71 / $2,232.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.57 / $1,653.86 / $3,934.52