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Montana rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,270.48 / $11,343.50 / $11,343.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,786.55 / $3,786.55 / $3,786.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $4,071.30 / $4,071.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.07 / $3,310.81 / $4,071.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.30 / $3,877.43 / $4,071.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.07 / $3,055.69 / $4,074.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.73 / $1,724.61 / $2,735.22