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Montana rates for HCPCS L2755

Addition To Lower Extremity Orthosis High Strength Lightweight Material All

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.56 / $92.90 / $443.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.38 / $155.38 / $155.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $167.07 / $167.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $135.86 / $167.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.41 / $159.11 / $167.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $125.39 / $167.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $70.16 / $80.31