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Montana rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.99 / $3,655.68 / $3,655.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.58 / $1,281.58 / $1,281.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $1,377.96 / $1,377.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.63 / $1,120.58 / $1,377.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.54 / $1,312.34 / $1,377.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.63 / $1,034.22 / $1,378.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.89 / $578.54 / $964.24