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Montana rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $84.85 / $93.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $163.88 / $163.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $176.20 / $176.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $143.30 / $176.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.78 / $167.81 / $176.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $132.26 / $176.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $70.48 / $80.69