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Montana rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.42 / $1,902.18 / $1,902.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.98 / $608.98 / $608.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $654.77 / $654.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.66 / $532.46 / $654.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.66 / $623.59 / $654.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.66 / $491.43 / $709.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.18 / $311.10 / $493.41