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Montana rates for HCPCS L2220

Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $60.96 / $354.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.74 / $116.74 / $116.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.72 / $125.52 / $125.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $102.07 / $125.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.44 / $119.54 / $125.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $94.20 / $125.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $46.03 / $73.00