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Montana rates for HCPCS L2425

Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $102.33 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $147.91 / $181.97
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $169.82 / $331.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $331.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $162.18 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $87.10 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $89.13