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Montana rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $501.19 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,122.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $501.19 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $467.74 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $371.54 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $380.19