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Montana rates for HCPCS L6110

Below elbow, molded socket (Muenster or Northwestern suspension types)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,716.74 / $9,422.89 / $9,422.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.67 / $2,447.67 / $2,447.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.17 / $2,631.74 / $2,631.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.17 / $2,631.74 / $2,631.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.01 / $2,506.42 / $2,631.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.24 / $2,019.01 / $2,882.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.77 / $1,222.33 / $1,883.60