go back

Montana rates for HCPCS L2395

Addition To Lower Extremity Offset Knee Joint Heavy Duty Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $621.51 / $621.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $219.90 / $219.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $178.83 / $219.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.27 / $209.43 / $219.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $165.05 / $220.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $87.94 / $117.25