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Montana rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.08 / $7,747.64 / $7,747.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $2,114.65 / $2,114.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.16 / $1,719.65 / $2,114.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.82 / $2,013.95 / $2,114.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.16 / $1,587.13 / $2,180.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.10 / $1,004.74 / $1,537.52