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Montana rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $246.89 / $246.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $79.39 / $79.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $69.53 / $79.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.15 / $75.61 / $79.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $65.20 / $81.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $37.72 / $43.18