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Montana rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $72.66 / $72.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $18.45 / $18.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $19.82 / $19.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $16.13 / $19.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $18.89 / $19.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.89 / $21.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $9.43 / $14.52