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Montana rates for HCPCS L0452

Tlso Flexible Provides Trunk Support Upper Thoracic Region Produces Intracavitary Pressure To Reduce Load On The Intevertebral Disks With Rigid S Tays Or Panel(S) Includes Shoulder Straps And Closures Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.29 / $223.29 / $223.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $223.29 / $223.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $223.29 / $223.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $223.29 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.65 / $170.65 / $227.53