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Montana rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.71 / $2,045.39 / $2,045.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $992.48 / $992.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $807.09 / $992.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.23 / $945.22 / $992.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $744.89 / $993.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.64 / $353.67 / $544.99