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Montana rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $169.82 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $199.53 / $245.47
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $229.09 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $218.78 / $281.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $181.97 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $107.15 / $120.23