go back

Montana rates for HCPCS L5810

Addition, endoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.13 / $2,248.00 / $2,248.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.58 / $633.58 / $633.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $681.23 / $681.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.85 / $553.98 / $681.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.79 / $648.79 / $681.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.85 / $511.29 / $681.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.49 / $291.52 / $449.24