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Montana rates for HCPCS L1945

Ankle Foot Orthosis Plastic Rigid Anterior Tibial Section (Floor Reaction) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.91 / $4,011.91 / $4,011.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.88 / $1,047.88 / $1,047.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.23 / $1,126.68 / $1,126.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.23 / $916.24 / $1,126.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $1,073.03 / $1,126.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.23 / $845.63 / $1,127.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.24 / $520.28 / $595.57