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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
$794.33 / $1,174.90 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $1,698.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $3,019.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $3,019.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,258.93 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $1,122.02