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Montana rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Facilitymedian $55 · 10th–90th $46–$780%20%40%10th90th$55Professionalmedian $45 · 10th–90th $45–$600%50%90th$45$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $54.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $54.95 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00