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Montana rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.49 / $1,929.35 / $1,929.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $893.81 / $893.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.16 / $726.85 / $893.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.05 / $851.25 / $893.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.16 / $670.84 / $894.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.76 / $319.49 / $488.91