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Montana rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.49 / $287.63 / $287.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.88 / $108.47 / $108.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $108.47 / $108.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $108.47 / $124.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $82.96 / $108.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $45.64 / $72.38