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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
$18.76 / $137.34 / $137.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $34.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $37.49 / $37.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $30.49 / $37.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $35.70 / $37.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $28.13 / $37.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $17.80 / $27.26