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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
$211.04 / $1,545.30 / $1,545.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $421.77 / $421.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $342.99 / $421.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.95 / $401.69 / $421.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $316.57 / $422.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.12 / $200.40 / $229.40