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Montana rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.72 / $4,206.26 / $4,206.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $1,530.74 / $1,530.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $1,244.81 / $1,530.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.58 / $1,457.85 / $1,530.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $1,148.90 / $1,531.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.01 / $545.48 / $865.13