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Montana rates for HCPCS L2210

Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $45.47 / $50.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.60 / $98.60 / $98.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $106.02 / $106.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $86.21 / $106.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.22 / $100.97 / $106.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.56 / $106.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $37.78 / $57.82