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Montana rates for HCPCS L2650

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.36 / $434.62 / $434.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $141.96 / $141.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.36 / $115.73 / $141.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.38 / $135.19 / $141.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $112.36 / $155.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.96 / $67.45 / $81.25