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Montana rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $75.86 / $93.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $87.10 / $169.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $169.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $83.18 / $102.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $39.81 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $34.67 / $39.81