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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
$588.84 / $912.01 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,174.90 / $1,445.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,630.27
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,630.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,071.52 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $691.83