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Montana rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,174.90 / $1,445.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $2,570.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,230.27 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,023.29 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $758.58 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $776.25