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Montana rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.04 / $76.04 / $76.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.66 / $141.66 / $141.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $152.32 / $152.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.98 / $152.32 / $152.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.59 / $145.07 / $152.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.33 / $116.86 / $152.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $63.16 / $96.66