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Montana rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,919.28 / $20,530.70 / $20,530.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $5,603.67 / $5,603.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,072.36 / $4,556.96 / $5,603.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,975.41 / $5,336.83 / $5,603.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,072.36 / $4,205.81 / $6,137.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,406.40 / $2,662.49 / $4,222.68