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Montana rates for HCPCS L0130

Cervical, flexible, thermoplastic collar, molded to patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $110.39 / $574.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.50 / $179.50 / $179.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $192.99 / $192.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.23 / $156.94 / $192.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.47 / $183.80 / $192.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.23 / $144.85 / $211.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.88 / $91.70 / $104.97