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Montana rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $60.49 / $301.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $98.34 / $98.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $105.74 / $105.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $86.00 / $105.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.14 / $100.70 / $105.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $79.36 / $110.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $50.24 / $76.88