go back

Montana rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.10 / $1,907.98 / $1,907.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.48 / $574.48 / $574.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $617.67 / $617.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.88 / $617.67 / $617.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.31 / $588.27 / $617.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.60 / $473.87 / $643.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.88 / $268.73 / $414.11