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Montana rates for HCPCS L5618

Addition to lower extremity, test socket, Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.32 / $999.99 / $999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.64 / $329.64 / $329.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $354.43 / $354.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.68 / $289.63 / $354.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.19 / $337.55 / $354.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.02 / $271.68 / $356.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.19 / $168.40 / $267.08