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Montana rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $291.86 / $291.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $89.49 / $89.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $73.15 / $89.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $85.23 / $89.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $71.02 / $93.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $42.52 / $65.06