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Montana rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.15 / $6,829.90 / $6,829.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $2,192.30 / $2,192.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.19 / $1,782.79 / $2,192.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.06 / $2,087.90 / $2,192.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.19 / $1,645.42 / $2,220.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.44 / $1,041.63 / $1,605.12