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Montana rates for HCPCS L0120

Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $17.94 / $73.59
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
$29.20 / $29.20 / $29.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $31.40 / $31.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $25.52 / $31.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $29.90 / $31.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $23.56 / $34.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $14.92 / $22.82