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Montana rates for HCPCS L4070

Replace Proximal And Distal Upright For Kafo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.57 / $1,219.67 / $1,219.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $332.90 / $332.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.09 / $270.72 / $332.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.76 / $317.05 / $332.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.09 / $249.86 / $357.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.96 / $158.16 / $242.05