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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
$2,041.74 / $2,754.23 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,467.37 / $4,265.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $7,762.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,801.89 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,162.28 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,659.59 / $2,570.40