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Montana rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.22 / $1,590.58 / $1,590.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.35 / $435.35 / $435.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $468.09 / $468.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $380.66 / $468.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.52 / $445.80 / $468.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $351.32 / $503.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $206.27 / $315.66