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Montana rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $510.40 / $510.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.57 / $129.57 / $129.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $139.31 / $139.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $113.29 / $139.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.97 / $132.68 / $139.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.56 / $106.22 / $139.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $75.06 / $82.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $66.19 / $101.29