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Montana rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.06 / $6,561.18 / $6,561.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.21 / $2,300.21 / $2,300.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $2,473.19 / $2,473.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.55 / $2,473.19 / $2,473.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.41 / $2,355.42 / $2,473.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.83 / $1,897.38 / $2,474.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.49 / $1,038.36 / $1,588.98