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Montana rates for HCPCS L2080

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $426.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $398.11 / $776.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $380.19 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $316.23 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $251.19 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $229.09