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Montana rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.39 / $1,104.33 / $1,104.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.55 / $435.55 / $435.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $468.30 / $468.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.28 / $380.83 / $468.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.67 / $446.00 / $468.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.28 / $351.48 / $468.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.72 / $182.26 / $280.85