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Montana rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.18 / $1,209.47 / $1,209.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.03 / $424.03 / $424.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $455.92 / $455.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.01 / $370.76 / $455.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.91 / $434.21 / $455.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.01 / $342.18 / $456.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $191.41 / $219.11