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Montana rates for HCPCS L0160

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

Facilitymedian $174 · 10th–90th $123–$2140%20%10th90th$174Professionalmedian $120 · 10th–90th $68–$2140%10%10th90th$120$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $186.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $338.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $338.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $275.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $93.33 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $134.90