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Montana rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $271.70 / $271.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.84 / $98.87 / $98.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $80.40 / $98.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.50 / $94.16 / $98.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $74.20 / $99.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $46.98 / $71.89