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Montana rates for HCPCS E1815

Dynamic adjustable ankle extension and flexion device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.69 / $1,035.69 / $1,035.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $99.82 / $121.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $171.41 / $483.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $121.19 / $206.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.66 / $74.86 / $692.10