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Montana rates for HCPCS L0710

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.16 / $9,051.53 / $9,051.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $2,823.20 / $2,823.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.06 / $2,295.84 / $2,823.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.79 / $2,688.76 / $2,823.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.06 / $2,118.92 / $2,825.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.93 / $1,173.83 / $1,343.71