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Montana rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.97 / $94.88 / $452.77
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
$130.99 / $130.99 / $130.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $141.16 / $141.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $138.80 / $141.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $92.32 / $141.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $90.11 / $141.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.23 / $76.23 / $89.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $71.65 / $80.62