go back

Montana rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.47 / $574.60 / $574.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $185.27 / $185.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $150.66 / $185.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.37 / $176.45 / $185.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $139.05 / $185.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $88.03 / $134.69