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Montana rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.24 / $1,252.91 / $1,252.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.07 / $424.07 / $424.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $455.96 / $455.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.51 / $370.79 / $455.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.58 / $434.25 / $455.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.51 / $342.23 / $456.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $162.47 / $270.80