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Montana rates for HCPCS L1025

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $504.68 / $504.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $147.51 / $147.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.11 / $119.95 / $147.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.31 / $140.49 / $147.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.11 / $110.71 / $147.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $70.09 / $80.23