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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
$398.11 / $660.69 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $776.25 / $954.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $707.95 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $478.63