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Montana rates for HCPCS L0700

Cervical-Thoracic-Lumbar-Sacral-Orthoses (Ctlso) Anterior- Posterior-Lateral Control Molded To Patient Model (Minerva Type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.61 / $8,762.03 / $8,762.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $2,419.34 / $2,419.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.99 / $1,967.43 / $2,419.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.82 / $2,304.13 / $2,419.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.99 / $1,815.82 / $2,421.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.99 / $1,136.29 / $1,738.82