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Montana rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.25 / $1,247.50 / $1,247.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.20 / $299.20 / $299.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $322.45 / $322.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.95 / $315.33 / $322.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.79 / $214.95 / $322.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.53 / $229.14 / $322.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $161.78 / $187.09