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Montana rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $93.76 / $93.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $25.66 / $25.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $27.59 / $27.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.62 / $22.44 / $27.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $26.28 / $27.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.62 / $20.71 / $30.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $12.40 / $19.67