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Montana rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.44 / $2,946.76 / $2,946.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.04 / $748.04 / $748.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $804.29 / $804.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.80 / $654.04 / $804.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.06 / $765.99 / $804.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.80 / $603.66 / $804.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.38 / $382.15 / $584.78