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Montana rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.79 / $2,694.25 / $2,694.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.50 / $947.50 / $947.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $1,018.75 / $1,018.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.49 / $828.45 / $1,018.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.62 / $970.24 / $1,018.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.49 / $764.62 / $1,024.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.06 / $465.86 / $738.86