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Montana rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,846.67 / $23,747.30 / $23,747.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $7,492.28 / $7,492.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $6,092.80 / $7,492.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.57 / $7,135.50 / $7,492.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $5,623.29 / $7,540.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.41 / $3,079.62 / $4,884.26