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Montana 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
$3,676.88 / $12,753.10 / $12,753.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.76 / $4,252.68 / $4,252.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.76 / $3,458.32 / $4,252.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.23 / $4,050.18 / $4,252.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.76 / $3,191.83 / $4,255.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.78 / $1,653.86 / $2,548.54