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Montana rates for HCPCS L1730

Legg Perthes Orthotic, (Scottish Rite Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.89 / $4,905.12 / $4,905.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,341.05 / $1,341.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.34 / $1,090.56 / $1,341.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.88 / $1,277.19 / $1,341.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.52 / $1,057.34 / $1,342.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.92 / $636.11 / $728.17