go back

Montana rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $81.47 / $474.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.58 / $160.58 / $160.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $172.65 / $172.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $140.41 / $172.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.75 / $164.43 / $172.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $129.58 / $172.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $61.52 / $94.14