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Montana rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Facilitymedian $132 · 10th–90th $98$1660%20%40%10th90th$132Professionalmedian $98 · 10th–90th $51$1660%10%10th90th$98$50.0$100.0$200.0$500.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $141.25 / $141.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $257.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $257.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $138.04 / $190.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $102.33