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Montana rates for HCPCS L1831

Knee Orthosis Locking Knee Joint(S) Positional Orthosis Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $190.25 / $998.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.10 / $350.10 / $350.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $376.43 / $376.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.94 / $306.12 / $376.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.62 / $358.50 / $376.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.94 / $282.52 / $376.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.84 / $158.03 / $180.91