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Montana rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Facilitymedian $35 · 10th–90th $23$440%20%10th90th$35Professionalmedian $23 · 10th–90th $16$450%10%20%10th90th$23$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $37.15 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $67.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $67.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $33.11 / $48.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.42 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.78 / $27.54