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Montana rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.49 / $1,347.47 / $1,347.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $367.77 / $367.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.19 / $299.08 / $367.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.28 / $350.26 / $367.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.19 / $276.02 / $402.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.94 / $174.74 / $269.27