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Montana rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $338.08 / $338.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $85.83 / $85.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $92.28 / $92.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $75.05 / $92.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $87.89 / $92.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $69.26 / $101.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $43.85 / $67.09