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Montana rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,638.17 / $9,150.36 / $9,150.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,746.67 / $2,746.67 / $2,746.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $2,953.22 / $2,953.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.28 / $2,401.59 / $2,953.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.11 / $2,812.59 / $2,953.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.28 / $2,216.53 / $2,955.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.51 / $1,186.65 / $1,828.59