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Montana rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,230.50 / $59,763.10 / $59,763.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,786.98 / $20,786.98 / $20,786.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $22,350.16 / $22,350.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,752.32 / $18,175.36 / $22,350.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $21,285.87 / $22,350.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,752.32 / $16,774.79 / $22,366.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,485.85 / $9,388.91 / $14,890.75