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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
$212.89 / $1,558.86 / $1,558.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $425.48 / $425.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.20 / $345.99 / $425.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.91 / $405.22 / $425.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.20 / $319.33 / $444.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.71 / $202.16 / $231.41