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Utah 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
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,951.21 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $6,165.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,365.16
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,073.80 / $4,365.16
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,168.69 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,659.59 / $2,454.71