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Montana rates for HCPCS L1005

Tension Based Scoliosis Orthosis And Accessory Pads Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.11 / $2,069.05 / $10,859.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,807.25 / $3,807.25 / $3,807.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $4,093.55 / $4,093.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.75 / $3,328.93 / $4,093.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.65 / $3,898.62 / $4,093.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.75 / $3,072.39 / $4,096.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.35 / $1,718.66 / $2,864.43