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Montana rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.87 / $4,282.54 / $4,282.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $1,439.26 / $1,439.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.15 / $1,439.26 / $1,439.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.10 / $1,370.72 / $1,439.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.23 / $1,104.16 / $1,477.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.76 / $600.52 / $687.43