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Montana rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.57 / $1,073.20 / $1,073.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.24 / $363.24 / $363.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $390.56 / $390.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.32 / $317.61 / $390.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.53 / $371.96 / $390.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.32 / $293.13 / $390.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.79 / $139.18 / $212.97