go back

Montana rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.86 / $2,247.07 / $2,247.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $817.75 / $817.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.81 / $817.75 / $817.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.66 / $778.81 / $817.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.29 / $613.76 / $818.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.38 / $291.41 / $462.17