go back

Montana rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.89 / $8,351.67 / $8,351.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.92 / $2,380.92 / $2,380.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $2,559.96 / $2,559.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.98 / $2,081.80 / $2,559.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.16 / $2,438.06 / $2,559.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.98 / $1,921.37 / $2,561.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,083.78 / $1,670.08