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Montana rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $29.55 / $142.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $48.07 / $48.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $51.68 / $51.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $42.03 / $51.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $49.22 / $51.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $38.79 / $51.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $24.56 / $37.58