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Montana rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.42 / $1,888.30 / $1,888.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $723.21 / $723.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.42 / $588.11 / $723.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.88 / $688.77 / $723.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.42 / $542.79 / $723.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.10 / $326.51 / $517.84