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Montana rates for HCPCS L2580

Addition to lower extremity, pelvic control, pelvic sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.70 / $2,011.42 / $2,011.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $718.08 / $718.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.35 / $583.95 / $718.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.50 / $683.89 / $718.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.35 / $538.96 / $718.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.76 / $260.85 / $298.60