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Montana rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.58 / $216.60 / $216.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $69.98 / $69.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $75.25 / $75.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $61.19 / $75.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.96 / $71.67 / $75.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $56.48 / $75.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.75 / $47.67