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Montana rates for HCPCS L2510

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.93 / $3,148.12 / $3,148.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.34 / $859.25 / $859.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.34 / $698.75 / $859.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.24 / $818.33 / $859.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.34 / $644.90 / $895.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.96 / $462.96 / $510.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.99 / $408.26 / $624.74