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Montana rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,029.82 / $13,977.20 / $13,977.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,574.24 / $4,574.24 / $4,574.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $4,918.22 / $4,918.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,364.97 / $3,999.54 / $4,918.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,268.06 / $4,684.02 / $4,918.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,364.97 / $3,691.34 / $4,921.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.32 / $2,029.53 / $3,218.82