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Montana rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $54.95 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $79.43 / $97.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $91.20 / $177.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $85.11 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $43.65 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $47.86