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Montana rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.89 / $3,367.46 / $3,367.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $1,190.54 / $1,190.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.94 / $968.15 / $1,190.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.03 / $1,133.84 / $1,190.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.94 / $893.56 / $1,191.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.98 / $657.98 / $691.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.70 / $436.70 / $692.61