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Montana rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $22.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $117.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $2,250,000.00