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Montana rates for HCPCS L2830

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $63.57 / $407.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.81 / $137.81 / $137.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $148.18 / $148.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $120.50 / $148.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $141.12 / $148.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $111.21 / $148.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $52.80 / $60.44