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Montana rates for HCPCS L2134

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.46 / $4,191.72 / $4,191.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.86 / $1,144.08 / $1,144.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.86 / $930.38 / $1,144.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.48 / $1,089.60 / $1,144.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.86 / $858.69 / $1,144.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.42 / $616.42 / $679.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.31 / $543.59 / $831.85