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Montana rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.62 / $334.62 / $631.16
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
$544.10 / $544.10 / $544.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $585.01 / $585.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.88 / $475.74 / $585.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.62 / $557.15 / $585.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.88 / $439.07 / $585.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.22 / $277.95 / $318.19