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Montana rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $89.80 / $89.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $22.79 / $22.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $24.51 / $24.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $24.51 / $24.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $23.34 / $24.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.80 / $26.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $11.65 / $17.95