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Montana rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.17 / $8,141.04 / $8,141.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $2,992.84 / $2,992.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.10 / $2,433.80 / $2,992.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.58 / $2,850.32 / $2,992.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.10 / $2,246.26 / $2,995.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.84 / $1,163.79 / $1,845.77