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Montana rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $69.45 / $85.00
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
$96.05 / $96.05 / $96.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $103.53 / $103.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.97 / $103.53 / $103.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.65 / $84.97 / $103.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $84.97 / $103.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $55.35 / $87.79