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Montana rates for HCPCS L5010

Partial foot, molded socket, ankle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.05 / $4,672.18 / $4,672.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.47 / $1,565.47 / $1,565.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $1,683.19 / $1,683.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.06 / $1,368.79 / $1,683.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.66 / $1,603.04 / $1,683.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.06 / $1,263.31 / $1,684.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.87 / $728.99 / $1,156.17