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Montana rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.52 / $3,338.45 / $3,338.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $1,214.93 / $1,214.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.44 / $991.89 / $1,214.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.10 / $1,157.08 / $1,214.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.86 / $930.44 / $1,215.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.74 / $577.25 / $915.52