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Montana rates for HCPCS L4002

Replacement Strap Any Orthosis Includes All Components Any Length Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $35.00 / $35.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $35.00 / $2,250,000.00