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Montana rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.19 / $323.20 / $323.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.04 / $82.04 / $82.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $88.21 / $88.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.87 / $71.73 / $88.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.84 / $84.01 / $88.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.87 / $66.20 / $88.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $41.92 / $66.48