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Montana rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $20 · 10th–90th $13–$250%20%40%10th90th$20Professionalmedian $12 · 10th–90th $6–$250%10%20%10th90th$12$10.0$20.0$50.0

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
$6.03 / $10.96 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $21.38 / $21.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $38.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $38.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $19.05 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.77 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $14.13