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Montana rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,213.68 / $14,614.90 / $14,614.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,794.46 / $5,794.46 / $5,794.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $6,230.21 / $6,230.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.72 / $5,066.46 / $6,230.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.06 / $5,933.53 / $6,230.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.72 / $4,676.05 / $6,234.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.59 / $2,220.13 / $3,521.11