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Montana rates for HCPCS L2570

Addition to lower extremity, pelvic control, hip joint, Clevis type two-position joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.92 / $2,064.30 / $2,064.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.13 / $563.42 / $563.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.13 / $458.20 / $563.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.17 / $536.60 / $563.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.13 / $422.88 / $563.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.96 / $267.70 / $409.66