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Montana rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.67 / $8,798.95 / $8,798.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $2,798.57 / $2,798.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.97 / $2,275.82 / $2,798.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.19 / $2,665.30 / $2,798.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.97 / $2,100.44 / $2,800.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.33 / $1,141.07 / $1,746.16