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Montana rates for HCPCS L0820

Halo Procedure Cervical Halo Incorporated Into Plaster Body Jacket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.53 / $8,812.58 / $8,812.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.80 / $2,757.77 / $2,757.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.80 / $2,757.77 / $2,757.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.74 / $2,626.45 / $2,757.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.83 / $2,115.69 / $2,907.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.73 / $1,376.73 / $1,517.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.29 / $1,214.06 / $1,857.84