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Montana rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.22 / $6,167.68 / $6,167.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.23 / $2,162.23 / $2,162.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $2,324.84 / $2,324.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.54 / $2,324.84 / $2,324.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.80 / $2,214.13 / $2,324.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.97 / $1,783.58 / $2,326.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.19 / $976.08 / $1,504.11