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Montana rates for HCPCS L2038

Knee Ankle Foot Orthosis Full Plastic With Or Without Free Motion Knee Multi-Axis Ankle Customfabricated Without Free Motion Knee Multi-Axis Ankle Custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.45 / $5,304.62 / $5,304.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.97 / $1,572.97 / $1,572.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.48 / $1,691.26 / $1,691.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.48 / $1,691.26 / $1,691.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.02 / $1,610.72 / $1,691.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.36 / $1,297.50 / $1,783.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.28 / $803.57 / $1,229.68