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Montana rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.54 / $2,610.17 / $2,610.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.06 / $815.06 / $815.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $876.35 / $876.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.30 / $712.67 / $876.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.27 / $834.62 / $876.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.30 / $657.75 / $877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $338.50 / $521.61