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Montana rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $346.74 / $426.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $758.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $758.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $371.54 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $316.23 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $229.09