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Montana rates for HCPCS L2136

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,288.25 / $1,584.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $2,884.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,174.90 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $758.58 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $660.69 / $758.58