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Montana rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.87 / $3,228.14 / $3,228.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.61 / $886.61 / $886.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $953.28 / $953.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.34 / $775.22 / $953.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.84 / $907.89 / $953.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.34 / $715.48 / $986.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.37 / $418.64 / $640.62