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Montana rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,728.00 / $23,335.70 / $23,335.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $7,644.88 / $7,644.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.37 / $6,216.89 / $7,644.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,381.92 / $7,280.84 / $7,644.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.37 / $5,737.82 / $7,650.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.17 / $3,026.25 / $4,663.35