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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
$186.73 / $1,367.28 / $1,367.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $373.18 / $373.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.89 / $373.18 / $373.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.15 / $355.41 / $373.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $286.30 / $408.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.25 / $177.31 / $271.33