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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
$38.77 / $283.88 / $283.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $107.00 / $107.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $87.00 / $107.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $101.90 / $107.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $80.31 / $107.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $49.09 / $75.11