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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
$673.52 / $4,931.74 / $4,931.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.38 / $1,621.29 / $1,621.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,318.45 / $1,621.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.65 / $1,544.09 / $1,621.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,216.84 / $1,622.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.23 / $685.12 / $1,048.42