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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
$398.11 / $537.03 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $660.69 / $812.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,445.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $602.56 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $478.63 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $467.74