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Montana rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.01 / $3,062.66 / $3,062.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $906.15 / $906.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.20 / $736.89 / $906.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.14 / $863.00 / $906.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.20 / $680.10 / $906.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.13 / $430.54 / $663.45