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Nationwide rates for HCPCS L5703

Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.43 / $1,487.12 / $1,764.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.61 / $1,507.41 / $2,012.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.95 / $2,889.21 / $5,543.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.81 / $1,526.81 / $2,130.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.51 / $2,119.51 / $2,119.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.24 / $1,626.03 / $2,183.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.97 / $1,408.01 / $2,137.40