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Montana rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $59.18 / $295.00
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
$87.32 / $87.32 / $87.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $94.12 / $94.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $88.87 / $94.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $67.14 / $94.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.59 / $70.41 / $94.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $49.17 / $75.23