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Montana rates for HCPCS L2186

Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type

Facilitymedian $200 · 10th–90th $126–$2450%20%40%10th90th$200Professionalmedian $117 · 10th–90th $58–$2450%10%20%10th90th$117$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $112.20 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $213.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $389.05
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $389.05
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $239.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $158.49 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $95.50 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $85.11 / $128.82