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Montana rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.74 / $1,380.91 / $7,210.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.65 / $2,240.65 / $2,240.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $2,409.15 / $2,409.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.07 / $1,959.13 / $2,409.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.33 / $2,294.42 / $2,409.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.07 / $1,808.17 / $2,566.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.47 / $1,042.77 / $1,595.72