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Montana rates for HCPCS L2415

Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $412.10 / $412.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.55 / $144.55 / $144.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $155.41 / $155.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $126.38 / $155.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.89 / $148.02 / $155.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $116.65 / $155.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.95 / $65.23 / $99.81