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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
$1,148.15 / $1,513.56 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,949.84 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,137.96