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Montana rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.68 / $265.68 / $501.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.15 / $476.15 / $476.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $511.96 / $511.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.03 / $416.33 / $511.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.63 / $487.58 / $511.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.03 / $384.25 / $512.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.46 / $220.69 / $337.72