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Montana rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.28 / $1,159.01 / $1,159.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $319.82 / $319.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $260.08 / $319.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.97 / $304.58 / $319.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $240.04 / $350.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $150.31 / $230.01