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Montana rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.89 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $5.26 / $5.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $6.33 / $6.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.84 / $7.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.17 / $2.17