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Montana rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.26 / $1,130.26 / $7,239.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.88 / $2,283.88 / $2,283.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $2,455.62 / $2,455.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.46 / $1,996.93 / $2,455.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.20 / $2,338.69 / $2,455.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.46 / $1,843.06 / $2,457.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.55 / $938.86 / $1,082.19