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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
$56.23 / $89.13 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $154.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $144.54 / $281.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $138.04 / $208.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $74.13