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Montana rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.86 / $183.32 / $183.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.56 / $60.56 / $60.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $65.11 / $65.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $52.96 / $65.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.57 / $62.01 / $65.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $48.88 / $65.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $23.77 / $37.71