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Montana rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Facilitymedian $1,698 · 10th–90th $1,202–$2,2390%20%40%10th90th$1,698Professionalmedian $1,096 · 10th–90th $776–$2,0890%10%20%10th90th$1,096$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $1,819.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $3,311.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,348.96 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $851.14 / $1,318.26