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Montana rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $263.33 / $263.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $95.83 / $95.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $77.93 / $95.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $91.27 / $95.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $71.93 / $95.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $38.72 / $42.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.86 / $34.15 / $56.92