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Montana rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Facilitymedian $47 · 10th–90th $30$600%20%10th90th$47Professionalmedian $33 · 10th–90th $20$590%10%10th90th$33$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $51.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $91.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $61.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $33.88