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Montana rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $151.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $141.25 / $275.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $134.90 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $64.57 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $66.07