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Montana rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.36 / $6,797.73 / $6,797.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.71 / $2,475.71 / $2,475.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $2,661.89 / $2,661.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.14 / $2,661.89 / $2,661.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.66 / $2,535.13 / $2,661.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.14 / $1,997.86 / $2,663.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.49 / $1,100.33 / $1,259.57