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Montana rates for HCPCS L5710

Addition, exoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.79 / $1,660.67 / $1,660.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $534.85 / $534.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.26 / $434.94 / $534.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.67 / $509.38 / $534.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.26 / $401.43 / $535.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.65 / $215.36 / $341.56