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Montana rates for HCPCS L1810

Knee Orthosis Elastic With Joints Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $330.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $111.09 / $111.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $119.45 / $119.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $97.13 / $119.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.86 / $113.76 / $119.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $89.64 / $122.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.35 / $84.70