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Montana rates for HCPCS L0200

Cervical Multiple Post Collar Occipital/Mandibular Supports Adjustable Cervical Bars And Thoracic Extension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.66 / $2,238.12 / $2,238.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.55 / $614.55 / $614.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.92 / $660.78 / $660.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.92 / $537.35 / $660.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.35 / $629.30 / $660.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.92 / $495.95 / $709.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $290.24 / $444.14