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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
$575.44 / $870.96 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,202.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $2,187.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $933.25 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $870.96 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $891.25