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Montana rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $374.62 / $374.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.99 / $102.25 / $102.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $89.54 / $102.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.29 / $97.38 / $102.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $83.99 / $109.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $48.58 / $61.60