go back

Montana rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.75 / $58.75 / $64.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.39 / $127.39 / $127.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $136.96 / $136.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $111.38 / $136.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $130.44 / $136.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $102.80 / $137.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $48.81 / $55.87