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Pelvic Control, Hip Joint, Adjustable Flexion

Montana rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $224$4680%20%40%10th90th$339Professionalmedian $263 · 10th–90th $112$6610%10%20%10th90th$263$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$263.03