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Montana rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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
$985.85 / $7,218.64 / $7,218.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.46 / $1,832.46 / $1,832.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $1,970.26 / $1,970.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.51 / $1,602.23 / $1,970.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.16 / $1,876.44 / $1,970.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.51 / $1,478.77 / $2,117.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.10 / $936.14 / $1,071.61