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Montana rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $451.83 / $451.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.69 / $114.69 / $114.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $123.32 / $123.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $103.88 / $123.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.48 / $117.45 / $123.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.56 / $97.44 / $123.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.96 / $58.60 / $92.93