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Montana rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.61 / $1,254.20 / $1,254.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.01 / $566.01 / $566.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $608.58 / $608.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $494.90 / $608.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.35 / $579.60 / $608.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $456.77 / $609.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.01 / $216.86 / $343.95