go back

Montana rates for HCPCS L5682

Addition To Lower Extremity Below Knee Thigh Lacer Gluteal/Ischial Molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.53 / $2,887.60 / $2,887.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.02 / $733.02 / $733.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $788.15 / $788.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.57 / $640.92 / $788.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.49 / $750.62 / $788.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.57 / $591.53 / $788.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.45 / $374.47 / $577.04