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Montana rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $107.15 / $131.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.03 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $114.82 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $66.07 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $74.13