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Montana rates for HCPCS L5688

Addition To Lower Extremity Below Knee Waist Belt Webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $282.04 / $282.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $71.59 / $71.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $76.98 / $76.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $62.60 / $76.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $73.31 / $76.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $57.78 / $79.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $36.58 / $58.01