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Montana rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $87.10 / $107.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $100.00 / $194.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $95.50 / $131.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $56.23 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $48.98 / $58.88