go back

Montana rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.40 / $3,861.80 / $3,861.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.02 / $1,145.02 / $1,145.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $1,231.13 / $1,231.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.26 / $1,231.13 / $1,231.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.66 / $1,172.50 / $1,231.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.01 / $944.49 / $1,239.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.91 / $567.91 / $626.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.64 / $500.81 / $766.37