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Montana rates for HCPCS K0043

Footrest Lower Extension Tube Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.26 / $15.26 / $24.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $20.16 / $24.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.26 / $18.50 / $32.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $20.16 / $24.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $11.45 / $19.07