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Montana rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

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