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Montana rates for HCPCS L2526

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.95 / $2,752.79 / $2,752.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $1,049.51 / $1,049.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.17 / $853.47 / $1,049.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.22 / $999.53 / $1,049.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.17 / $787.70 / $1,050.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.94 / $384.97 / $440.68