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Montana rates for HCPCS L2330

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

Facilitymedian $479 · 10th–90th $331–$5890%20%10th90th$479Professionalmedian $355 · 10th–90th $200–$5010%10%20%10th90th$355$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $933.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $933.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $457.09 / $602.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $380.19 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $251.19 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $338.84