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Michigan rates for HCPCS L5060

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.67 / $2,328.67 / $2,328.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.57 / $2,328.67 / $2,328.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,171.72 / $12,296.44 / $22,395.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.73 / $4,077.61 / $5,504.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.80 / $2,154.80 / $2,650.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,262.09 / $3,262.09 / $3,262.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.76 / $2,637.76 / $2,637.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.76 / $2,637.76 / $4,727.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.67 / $2,946.67 / $2,946.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.17 / $2,946.67 / $4,281.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,474.29 / $3,017.43 / $3,470.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.78 / $1,949.36 / $2,881.89