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Montana rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.00 / $2,604.82 / $2,604.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.29 / $713.29 / $713.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $766.93 / $766.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.40 / $623.66 / $766.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.22 / $730.41 / $766.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.40 / $575.61 / $767.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.34 / $364.39 / $577.91