go back

Montana rates for HCPCS L2620

Addition To Lower Extremity Pelvic Control Hip Joint Heavy Duty Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.26 / $1,158.81 / $1,158.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.22 / $316.27 / $316.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.22 / $257.20 / $316.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.94 / $301.22 / $316.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.22 / $237.38 / $337.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $150.28 / $175.84