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Montana rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $375.66 / $375.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $119.65 / $119.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $97.30 / $119.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.53 / $113.95 / $119.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $89.80 / $128.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $56.85 / $86.99