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Montana rates for HCPCS L5610

Addition to lower extremity, endoskeletal system, above knee (AK), hydracadence system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.62 / $8,485.99 / $8,485.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.76 / $3,378.95 / $3,378.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.76 / $3,378.95 / $3,378.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.42 / $3,218.05 / $3,378.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.06 / $2,592.26 / $3,381.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.48 / $1,239.72 / $1,966.19