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Montana rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.24 / $1,832.33 / $1,832.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $567.64 / $567.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.62 / $461.61 / $567.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.55 / $540.61 / $567.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.62 / $426.04 / $571.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.76 / $237.62 / $272.01