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Montana rates for HCPCS L1240

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.96 / $336.52 / $336.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.43 / $85.43 / $85.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $91.85 / $91.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $74.70 / $91.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.77 / $87.48 / $91.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $68.94 / $95.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.44 / $43.64 / $66.78