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Montana rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $371.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $346.74 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $331.13 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $281.84 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $208.93