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Montana rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.24 / $3,365.28 / $3,365.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $1,224.69 / $1,224.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.11 / $995.93 / $1,224.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.71 / $1,166.36 / $1,224.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.11 / $919.18 / $1,225.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.45 / $436.42 / $692.16