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Montana rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,428.48 / $15,428.48 / $15,428.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,557.01 / $38,557.01 / $38,557.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,456.51 / $41,456.51 / $41,456.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41,456.51 / $41,456.51 / $41,456.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,706.21 / $41,456.51 / $41,456.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,894.87 / $41,456.51 / $46,268.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,874.21 / $19,874.21 / $33,123.69