go back

Montana rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.80 / $6,093.35 / $6,093.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.21 / $2,136.21 / $2,136.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $2,296.85 / $2,296.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.83 / $1,867.83 / $2,296.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.66 / $2,187.48 / $2,296.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.83 / $1,723.90 / $2,298.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.58 / $964.33 / $1,529.42