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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
$25.12 / $36.31 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $52.48 / $64.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $60.26 / $117.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $117.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $57.54 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $35.48 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $36.31