go back

Montana rates for HCPCS L5711

Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.12 / $2,410.98 / $2,410.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $658.06 / $658.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.67 / $658.06 / $658.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.41 / $626.72 / $658.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.67 / $493.89 / $703.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $312.66 / $495.88