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Montana rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,814.50 / $20,167.30 / $20,167.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $7,060.32 / $7,060.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $5,741.52 / $7,060.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.14 / $6,724.11 / $7,060.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $5,299.08 / $7,065.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.98 / $2,784.85 / $4,416.75