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Montana rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.35 / $4,395.89 / $4,395.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $1,243.14 / $1,243.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.02 / $1,010.92 / $1,243.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.07 / $1,183.94 / $1,243.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.02 / $933.03 / $1,334.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.24 / $570.07 / $872.37