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Montana rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $667.11 / $667.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $182.08 / $182.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $148.33 / $182.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $173.41 / $182.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.01 / $189.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.19 / $86.51 / $99.04