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Montana rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.84 / $1,499.87 / $1,499.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $669.70 / $669.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.04 / $669.70 / $669.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.82 / $637.80 / $669.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.33 / $502.64 / $670.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.40 / $259.33 / $298.64