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Montana rates for HCPCS L2050

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.95 / $2,064.55 / $2,064.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.34 / $623.46 / $623.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.34 / $507.01 / $623.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.20 / $593.77 / $623.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.34 / $467.94 / $623.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.99 / $267.73 / $409.71