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Montana rates for HCPCS L2136

Kafo Fracture Orthosis Femoral Fracture Cast Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.97 / $5,125.35 / $5,125.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.50 / $1,572.36 / $1,572.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.50 / $1,278.66 / $1,572.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.79 / $1,497.49 / $1,572.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.50 / $1,180.13 / $1,573.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.74 / $664.67 / $760.87