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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
$489.78 / $707.95 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $831.76 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,862.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $758.58 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $707.95 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $724.44