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Montana rates for HCPCS L0830

Halo Procedure Cervical Halo Incorporated Into Milwaukee Type Orthosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.03 / $13,590.40 / $13,590.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.59 / $3,709.38 / $3,709.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.59 / $3,016.51 / $3,709.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.58 / $3,532.74 / $3,709.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.59 / $2,784.05 / $4,061.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.93 / $1,762.45 / $2,080.46