go back

Montana rates for HCPCS L0190

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $2,146.85 / $2,146.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.88 / $565.88 / $565.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.04 / $608.42 / $608.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.04 / $494.79 / $608.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.14 / $579.46 / $608.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.04 / $456.66 / $634.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.63 / $278.41 / $318.70