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Montana rates for HCPCS L1685

Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $1,412.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $2,570.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,047.13 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $831.76