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Montana rates for HCPCS L2525

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $1,621.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,230.27 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $776.25 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $891.25