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Montana rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.72 / $255.67 / $255.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $89.61 / $89.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $96.35 / $96.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $78.36 / $96.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.20 / $91.76 / $96.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $72.31 / $96.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $40.45 / $64.14