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Montana rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.42 / $4,434.10 / $4,434.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.21 / $1,613.67 / $1,613.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.21 / $1,312.25 / $1,613.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.62 / $1,536.83 / $1,613.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.21 / $1,211.13 / $1,614.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.72 / $575.03 / $886.10