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Montana rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.20 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $34.67 / $67.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $33.11 / $48.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $20.42 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $23.99