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Montana rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.53 / $7,080.92 / $7,080.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $2,576.90 / $2,576.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.48 / $2,095.56 / $2,576.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.20 / $2,454.19 / $2,576.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.48 / $1,934.08 / $2,578.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.96 / $918.28 / $1,456.38