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Montana rates for HCPCS L0980

Peroneal Straps Prefabricated Off-The-Shelf Pair (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $56.77 / $56.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $16.80 / $20.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $19.67 / $20.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $15.51 / $20.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $9.82 / $13.09