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Montana rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $160.06 / $757.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.06 / $284.06 / $284.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $305.42 / $305.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $248.37 / $305.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.58 / $290.88 / $305.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $229.23 / $305.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.96 / $177.28