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Montana rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Facilitymedian $309 · 10th–90th $209–$4270%20%40%10th90th$309Professionalmedian $224 · 10th–90th $145–$3890%10%10th90th$224$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $199.53 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $331.13 / $331.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $602.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $302.00 / $467.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $251.19 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $177.83 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $239.88