go back

Montana rates for HCPCS L1270

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.86 / $335.79 / $335.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $85.24 / $85.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $91.65 / $91.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $74.54 / $91.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $87.29 / $91.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $68.80 / $91.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $43.55 / $49.85