go back

Montana rates for HCPCS L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.77 / $7,276.04 / $7,276.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.67 / $2,371.67 / $2,371.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.43 / $2,550.03 / $2,550.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.43 / $2,094.17 / $2,550.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.86 / $2,428.60 / $2,550.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.91 / $1,964.43 / $2,671.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.58 / $1,152.43 / $1,775.86