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Montana rates for HCPCS L1120

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $172.11 / $172.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $50.80 / $50.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $50.80 / $50.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $48.38 / $50.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $38.96 / $55.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $22.32 / $37.20