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Montana rates for HCPCS L4060

Replace high roll cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.10 / $1,377.35 / $1,377.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.07 / $501.25 / $501.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.07 / $407.62 / $501.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.61 / $477.38 / $501.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.07 / $376.21 / $501.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $178.62 / $297.70