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Montana rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.37 / $442.04 / $442.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.99 / $154.99 / $154.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $166.65 / $166.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.06 / $135.52 / $166.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.19 / $158.71 / $166.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.06 / $125.07 / $166.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $69.95 / $107.06