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Montana rates for HCPCS L2795

Addition To Lower Extremity Orthosis Knee Control Full Kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.49 / $57.49 / $108.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.49 / $93.49 / $93.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $100.52 / $100.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $81.73 / $100.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.37 / $95.73 / $100.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $75.44 / $110.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.16 / $47.76 / $55.05