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Montana rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.96 / $717.25 / $717.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.07 / $182.07 / $182.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $195.76 / $195.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.51 / $195.76 / $195.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.95 / $186.44 / $195.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.51 / $146.93 / $217.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.48 / $105.48 / $116.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $93.02 / $106.48