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Montana rates for HCPCS L5684

Addition To Lower Extremity Below Knee Fork Strap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $222.22 / $222.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $61.86 / $61.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $50.30 / $61.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.21 / $58.91 / $61.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $46.42 / $67.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $28.82 / $44.41